Individual provider Active NPI

William David Bradley, D.C.

  • Chiropractor
  • Belgrade, MT
National Provider Identifier
1801915475
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
741 Issued in 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
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 741 MT Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050922000792 MT Practitioner - Chiropractic 2163456724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
741MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Massage PastSince Jan 1, 2024 Accepting new patients
Partnership for Health & Wellness, Inc. Past Accepting new patients
Morrell Spine & Sport Chiropractor PastSince Feb 1, 2024 Accepting new patients
Bradley Chiropractic Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1801915475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8757 JACKRABBIT LN",
            "address_2": "SUITE A",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597147900",
            "telephone_number": "406-388-9915",
            "fax_number": "406-388-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8757 JACKRABBIT LN",
            "address_2": "SUITE A",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597147900",
            "telephone_number": "406-388-9915",
            "fax_number": "406-388-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belgrade, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.