Brad M Mundt, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

CH00034577 Issued in WA

Practice address

7910 Pacific Ave
Tacoma, WA 98408-7031

Phone

(253) 473-3733

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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.

• Active Chiropractic Clinic PS

  • Chiropractor
  • Tacoma, WA
  • NPI 1992901326
  NPD (past)
• Chiropractic Northwest, Inc.

  • Rehabilitation Chiropractor
  • Puyallup, WA
  • NPI 1245471036
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2015.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1790790236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087031",
            "telephone_number": "253-473-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087031",
            "telephone_number": "253-473-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDT",
        "first_name": "BRAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WA",
            "license": "CH00034577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Mumm
• Daniel Elroy Mumme, M.D.
• Alexander Matthew Mundell, MD
• Carmel Mundell
• Michelle Munden
• Catherine Munene, ARNP, DNP
• Vivian Munera-Spears, LPC
• Daisy Alejandra Muneton
• Caroline Mungai
• McKenna Ann Munholand

• All providers in Tacoma, WA
• Orthopedic Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.