Dr Bradley a Chicoine PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

04520 Issued in IA

Legal business name

DR BRADLEY A CHICOINE PC

Doing business as

The BAC Clinic of Chiropractic

Practice address

1501 Nebraska St
Sioux City, IA 51105-1240

Phone

(712) 252-0633

Fax

(712) 252-3904

NPI assigned

Oct 19, 2006

Last updated

Aug 11, 2015By 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. Bradley A. Chicoine, D.C.NPI 1710960513

Title

Owner

Phone

(712) 252-0633

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• The BAC Clinic of Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 3

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.

• Bradley A Chicoine, DC

  • Chiropractor
  • Sioux City, IA
  • NPI 1710960513
  Medicare reassignment NPD Authorized official
• Robert Daron Kuchel, D.C.

  • Chiropractor
  • Sioux City, IA
  • NPI 1346320520
  NPD (past)
• Jon T Saunders, D.C.

  • Chiropractor
  • Marion, SD
  • NPI 1447234257
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1831271048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NEBRASKA ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051240",
            "telephone_number": "712-252-0633",
            "fax_number": "712-252-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NEBRASKA ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051240",
            "telephone_number": "712-252-0633",
            "fax_number": "712-252-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRADLEY A CHICOINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "CHICOINE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-252-0633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05627",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "29618",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157800",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5152033",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "29712",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The BAC Clinic of Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dona W. Prince DDS, PC
• Amber Donahue, CADC
• Patrick Donat
• Donna L. Gardner, D.D.S.,P.C.
• Douglas a. Wheelock, DDS, PC (Wheelock and Bursick Dentistry)
• Dr Greg J McCarthy PC (Siouxland Podiatry Associates)
• Cara Drew
• Drilling Morningside Pharmacy Inc (Drilling Pharmacy)
• Drilling Morningside Pharmacy Inc (Drilling Morningside Pharmacy)
• Donald E Drilling

• Chiropractor in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.