Active NPI
Bradley D Clunes, DC
- Chiropractor
- Gladstone, OR
National Provider Identifier
1831281732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2314
- 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, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134907 | Other | WA | WOKERS COMP |
| 8629A | Other | OR | QUAL MED NON PART |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2314 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clunes Corporation | Current | Accepting new patients | |
| Active Oregon Chiropractic | Chiropractor | Past | Accepting new patients |
| Schlenker Health Group LLC | Past | 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.
-
- Chiropractor
- Gladstone, OR
- NPI 1265877856
-
dba Schlenker Chiropractic and Associates
- Clinic/Center
- Gladstone, OR
- NPI 1891951810
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.