Bradberry Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10777 Issued in FL

Legal business name

BRADBERRY CHIROPRACTIC, P.A.

Practice address

405 Seminole Blvd
Largo, FL 33770-3620

Phone

(727) 581-2774

Fax

(727) 581-3199

NPI assigned

Nov 6, 2012

Last updated

Nov 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Wayne Bradberry, D.C.NPI 1710231303

Title

President

Phone

(727) 459-6672

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Wayne Bradberry, D.C.

  • Chiropractor
  • Charlotte, NC
  • NPI 1710231303
  Authorized official Same address or phone

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1821342387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11566 DECLARATION DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336356341",
            "telephone_number": "727-459-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703620",
            "telephone_number": "727-581-2774",
            "fax_number": "727-581-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADBERRY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "BRADBERRY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-459-6672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy L. Boyd, LICSW
• Whitney Leigh Boyd, PA
• Andrew James Boyle, M.D.
• Bracing Partners, Inc
• Chelsea Bracknell
• Hannah Bradham
• Ashley Danielle Bradley, D.M.D.
• Brain and Spine Neuroscience Institute, LLC (The Florida Center for Minimally Invasive Neurosurgery)
• Iris Brancaglione Lima, PT
• Brant Inc (BrightStar)

• Chiropractor in Largo, FL
• Providers in Largo, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.