Individual provider Active NPI

Bradley Louis Holaday, DC

  • Chiropractor
  • Olathe, KS
National Provider Identifier
1851453906
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104387 Issued in KS
Practice address
2110 E Santa Fe St
Fulk Chiropractic, PA
Olathe, KS 66062-1607
Phone
(913) 764-6237
Fax
(913) 397-8230
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104387 KS Primary

Addresses

Primary practice location

2110 E Santa Fe St
Fulk Chiropractic, PA
Olathe, KS 66062-1607

Mailing address

13821 Hauser St
Overland Park, KS 66221-2889
Phone (913) 526-2254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0104387KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fulk Chiropractic PA Chiropractor PastSince Jan 1, 1996 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851453906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13821 HAUSER ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662212889",
            "telephone_number": "913-526-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E SANTA FE ST",
            "address_2": "FULK CHIROPRACTIC, PA",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621607",
            "telephone_number": "913-764-6237",
            "fax_number": "913-397-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLADAY",
        "first_name": "BRADLEY",
        "middle_name": "LOUIS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.