Bradley Johannsen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

099761 Issued in IA

Practice address

4505 Algonquin Dr Ste C
Cedar Falls, IA 50613-1219

Phone

(319) 553-6241

NPI assigned

Dec 5, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Family Chiropractic PLLCGroup PAC ID 0941561500, 3 clinicians

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.

• Thrive Family Chiropractic PLLC

  • Chiropractor
  • Urbandale, IA
  • NPI 1053812511
  Medicare reassignment Care Compare group NPD
• Integrated Physical Medicine PLLC

  • Family Medicine Physician
  • Rockford, MI
  • NPI 1790067015
  NPD (past)

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1871008409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 ALGONQUIN DR STE C",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506131219",
            "telephone_number": "319-553-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 ALGONQUIN DR STE C",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506131219",
            "telephone_number": "319-553-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANNSEN",
        "first_name": "BRADLEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010622",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "099761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2301010622",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iowa Physicians Clinic Medical Foundation
• Amber N Jacobs
• Bethany Kay Jacobsen, PT, ATC
• Erika Kay Jeanes, DPT
• Jennifer Leigh Jensen, D.C.
• Carolyn Ilene Johnson, NURSE PRACTITIONER
• Charles Johnson, PTA
• Janine Johnson, ARNP
• Kerri A Johnson, ARNP
• Michael L Johnson Jr., D.C.

• Chiropractor in Cedar Falls, IA
• Providers in Cedar Falls, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.