Bradford Paul Merritt, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A05657 Issued in IA

Practice address

2213 E 52ND St
Ste a
Davenport, IA 52807-2785

Phone

(563) 359-7298

Fax

(563) 359-4469

NPI assigned

Aug 24, 2005

Reactivated

Apr 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Iowa Chiropractic, PLLC

  • Chiropractor
  • Davenport, IA
  • NPI 1356158745
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770576985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 E 52ND ST",
            "address_2": "STE A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072785",
            "telephone_number": "563-359-7298",
            "fax_number": "563-359-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 E 52ND ST",
            "address_2": "STE A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072785",
            "telephone_number": "563-359-7298",
            "fax_number": "563-359-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "BRADFORD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0454397",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raegan Menke, PHARM.D.
• Maria Terese Menster, MSE, IADC
• Shannon M Mentzer, ARNP
• Kelly Alexis Merchie, PA-C
• Merritt Chiropractic PC
• Mesick Family Chiropractic Clinic
• Kelsey Mesick, PA-C
• Timothy William Mesick, D.C.
• Anne Mireille Metuge Ahone, MD
• Kenneth Alan Meye, D.C.

• Chiropractor in Davenport, IA
• Providers in Davenport, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.