Individual provider Active NPI

Brad Alan Meylor, D.C.

  • Chiropractor
  • Gretna, NE
National Provider Identifier
1770867095
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1688 Issued in NE
Practice address
11532 Willow Park Dr
Suite 300
Gretna, NE 68028-6947
Phone
(402) 715-4242
Fax
(402) 715-4295
NPI assigned
Oct 5, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1688 NE Primary

Addresses

Primary practice location

11532 Willow Park Dr
Suite 300
Gretna, NE 68028-6947

Mailing address

11532 Willow Park Dr
Suite 300
Gretna, NE 68028-6947
Phone (402) 715-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000013 NE Practitioner - Chiropractic 3678747805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11532 Willow Park Dr
Suite 300
Gretna, NE 68028-6954
Phone (402) 715-4242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meylor Family Chiropractic, LLC Chiropractor CurrentSince Jan 2, 2014 Accepting new patients
Matthes Family Chiropractic LLC Chiropractor PastSince Mar 26, 2014 Accepting new patients

Locations

11532 Willow Park Dr
Ste 300
Gretna, NE 68028
Phone (402) 715-4242

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1770867095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11532 WILLOW PARK DR",
            "address_2": "SUITE 300",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680286947",
            "telephone_number": "402-715-4242",
            "fax_number": "402-715-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11532 WILLOW PARK DR",
            "address_2": "SUITE 300",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680286947",
            "telephone_number": "402-715-4242",
            "fax_number": "402-715-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYLOR",
        "first_name": "BRAD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.