Bradley John Montgomery, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR0007047 Issued in CO

Practice address

873 W Walnut Ave
Duncan, OK 73533-4621

Phone

(580) 467-2388

NPI assigned

Jun 8, 2011

Last updated

Aug 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Axis Chiropractic PLLC

  • Chiropractor
  • Duncan, OK
  • NPI 1861917122
  Medicare reassignment Authorized official
• Chapis LLC

  dba De Leon Family Chiropractic

  • Chiropractor
  • Westminster, CO
  • NPI 1649714908
  NPD
• Balanced Beginnings Lactation

  • Lactation Consultant (Non-RN)
  • Stillwater, OK
  • NPI 1568358737
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1750675658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 W WALNUT AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334621",
            "telephone_number": "580-467-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 W WALNUT AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334621",
            "telephone_number": "580-467-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "BRADLEY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR0007047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Didric Antonio Miller
• Douglas C Miller, MD
• Lora Beth Minson, ARNP
• Nicollette Ann Minyard
• Carlton D. Mitchell II
• Jenny Lyn Moore
• Jerry Don Moore, LBP
• Stephanie Moore
• William Moore, LPC
• Oscar Morales, M.D.

• Chiropractor in Duncan, OK
• Providers in Duncan, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.