Individual provider Active NPI

Bradley D Clunes, DC

  • Chiropractor
  • Gladstone, OR
National Provider Identifier
1831281732
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2314 Issued in OR
Practice address
130 W Clarendon St
Chiropractic Care
Gladstone, OR 97027-2335
Phone
(503) 656-0362
Fax
(503) 656-0182
NPI assigned
Sep 28, 2006
Last updated
Dec 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2314 OR Primary

Addresses

Primary practice location

130 W Clarendon St
Chiropractic Care
Gladstone, OR 97027-2335

Mailing address

130 W Clarendon St
Chiropractic Care
Gladstone, OR 97027-2335
Phone (503) 656-0362

Other identifiers 2

IdentifierTypeStateIssuer
134907OtherWAWOKERS COMP
8629AOtherORQUAL MED NON PART

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080530000052 OR Practitioner - Chiropractic 7618047895 Practice locations: Gladstone, OR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

735 E Clarendon St
Suite 101
Gladstone, OR 97027-2568
Phone (503) 656-0362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2314ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clunes Corporation Current Accepting new patients
Active Oregon Chiropractic Chiropractor PastSince Sep 23, 2017 Accepting new patients
Schlenker Health Group LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 3

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1831281732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W CLARENDON ST",
            "address_2": "CHIROPRACTIC CARE",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272335",
            "telephone_number": "503-656-0362",
            "fax_number": "503-656-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W CLARENDON ST",
            "address_2": "CHIROPRACTIC CARE",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272335",
            "telephone_number": "503-656-0362",
            "fax_number": "503-656-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUNES",
        "first_name": "BRADLEY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WOKERS COMP",
            "identifier": "134907",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL MED NON PART",
            "identifier": "8629A",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.