William David Bradley, D.C.
Individual provider Active NPI Chiropractor · Belgrade, MT
NPI 1801915475 · NPPES record last updated Oct 15, 2012
Key facts
- NPI
- 1801915475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 741 (MT)
- Practice address
- 8757 Jackrabbit LN
Suite a
Belgrade, MT 59714-7900 - Phone
- (406) 388-9915
- Fax
- (406) 388-9916
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050922000792 | MT | Practitioner - Chiropractic | 2163456724 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 741 | MT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolve Massage | Past |
Accepting new patients | |
| Bradley Chiropractic | Chiropractor | Past |
Accepting new patients |
| Morrell Spine & Sport | Chiropractor | Past |
Accepting new patients |
| Partnership for Health & Wellness, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 741 | MT | Yes |
Addresses
Primary practice location
8757 Jackrabbit LN
Suite a
Belgrade, MT 59714-7900
Mailing address
8757 Jackrabbit LN
Suite a
Belgrade, MT 59714-7900
Phone (406) 388-9915
Other providers in Belgrade, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2012. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.