Marc Bradley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556003 Issued in VA

Practice address

111 Elm Street
Weber City, VA 24290

Phone

(276) 386-7778

Fax

(276) 386-7857

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

Practice roles

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.

• Cornerstone Health Group, P.C.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Weber City, VA
  • NPI 1083834279

  Chiropractor

  NPD (past)
• Mark a. Bradley

  dba Virginia Center for Integrative Medicine

  • Internal Medicine Physician
  • Weber City, VA
  • NPI 1487740049

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861598211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ELM STREET",
            "city": "WEBER CITY",
            "state": "VA",
            "postal_code": "24290",
            "telephone_number": "276-386-7778",
            "fax_number": "276-386-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELM STREET",
            "city": "WEBER CITY",
            "state": "VA",
            "postal_code": "24290",
            "telephone_number": "276-386-7778",
            "fax_number": "276-386-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MARC",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7647380",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "VA0104",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "175344",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4047000",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Mark Adkins, MD
• Jennifer Alley, BSW
• Bryan T Arnette, MD
• Emily Rachel Ashley, BA
• Rachel Lynn Carter, LPC
• Jessica Parker Christian, PHARMD
• Jeremiah M Cline, OTR/L
• Continiumcare of Weber City LLC
• Cornerstone Health Group, P.C.

• Chiropractor in Weber City, VA
• Providers in Weber City, VA by specialty
• Chiropractor in Virginia

• 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.