Individual provider Active NPI

Brad Alan Cudnik, D.C.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1790891034
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4577 Issued in TX
Practice address
1711 Citadel PLZ
San Antonio, TX 78209-1001
Phone
(210) 359-9100
Fax
(210) 333-6884
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4577 TX Primary

Addresses

Primary practice location

1711 Citadel PLZ
San Antonio, TX 78209-1001

Mailing address

1711 Citadel PLZ
San Antonio, TX 78209-1001
Phone (210) 359-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051012000831 TX Practitioner - Chiropractic 9032134606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Management Services IncGroup PAC ID 9133144793, 2 clinicians

Practice addresses (Care Compare)

6207 Pecan Valley Dr
San Antonio, TX 78223-3226
Phone (210) 359-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4577TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Management Services LLC Chiropractor CurrentSince Jun 1, 1989 Accepting new patients

Locations

6207 Pecan Valley Dr
San Antonio, TX 78223
Phone (210) 359-9100

1711 Citadel Plz
San Antonio, TX 78209

Organizations & group practices 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1790891034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 CITADEL PLZ",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091001",
            "telephone_number": "210-359-9100",
            "fax_number": "210-333-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 CITADEL PLZ",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091001",
            "telephone_number": "210-359-9100",
            "fax_number": "210-333-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDNIK",
        "first_name": "BRAD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.