Brad B Barez, D.C
Individual provider Active NPI Sports Physician Chiropractor · Lawndale, CA
NPI 1780707182 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780707182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Physician Chiropractor 111NS0005X
- License
- DC23737 (CA)
- Practice address
- 4451 Redondo Beach Blvd # B
Lawndale, CA 90260-3716 - Phone
- (310) 371-3134
- Fax
- (310) 371-6634
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
23377 Hawthorne Blvd
Torrance, CA 90505-3720
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121016000009 | CA | Practitioner - Chiropractic | 3971753617 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Health | Sports Physician | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC23737 | CA | Yes |
Addresses
Primary practice location
4451 Redondo Beach Blvd # B
Lawndale, CA 90260-3716
Mailing address
4451 Redondo Beach Blvd #B
Lawndale, CA 90260
Phone (310) 371-3134
Other providers in Lawndale, CA
- Alexis Arnold
- Asif M Azimi
- Back to Health
- Bandary & Barooty DDS, a Professional Dental Corporation
- Decio Andrade Barbosa
- Barouir Deirmenjian Dental Corporation
- Bell Hospital Corp.
- Bell Hospital Corp.
- Bell Hospital Corporation
- Benevolence Home Health Care, Inc.
All providers in Lawndale, CA · Sports Physician Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.