Bradley David Haslam, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60404828 Issued in WA

Practice address

201 E Main Ave
Chewelah, WA 99109-5012

Phone

(509) 935-6822

Fax

(509) 935-4588

NPI assigned

Sep 12, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Haslam Chiropractic PLLC

  • Clinic/Center
  • Chewelah, WA
  • NPI 1275999740
  Medicare reassignment NPD Authorized official
• Haslam Chiropractic PLLC

  • Clinic/Center
  • Chewelah, WA
  • NPI 1376900712
  NPD (past) Authorized official

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1861827503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1133",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991091133",
            "telephone_number": "509-935-6822",
            "fax_number": "509-935-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E MAIN AVE",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991095012",
            "telephone_number": "509-935-6822",
            "fax_number": "509-935-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASLAM",
        "first_name": "BRADLEY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-12",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60404828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Kay Gear, RN
• Quinn Laurel Alexandra Gudgel
• Rudolf Gustav Hahn, DMD
• Haslam Chiropractic PLLC
• Haslam Chiropractic PLLC
• Christine McGlinchy Hayman, RPH
• Nicole Marie Haywood, LMP
• Connor D Hoffman
• Pamela D Holmes, MS, LMHC
• Caleb Christman Holtzer, M.D.

• Chiropractor in Chewelah, WA
• Providers in Chewelah, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; 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.