Shawn Bradley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2004018211 Issued in MO

Practice address

1761 Jeffco Blvd
Arnold, MO 63010-2713

Phone

(636) 296-1222

Fax

(636) 296-1226

NPI assigned

Aug 31, 2006

Last updated

Oct 14, 2008By the provider in NPPES

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 5

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bradley Chiropractic LLCGroup PAC ID 1759330988, 4 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bradley Chiropractic LLC

  • Chiropractor
  • Arnold, MO
  • NPI 1699964478
  Medicare reassignment Care Compare group NPD Authorized official
• Amy Horn Twenty Seven, LLC

  dba Integrative Healthcare Center

  • Chiropractor
  • Arnold, MO
  • NPI 1699080788
  NPD (past)
• Missouri Spine Associates, LLC

  dba Missouri Spine and Pain Management

  • General Practice Physician
  • Arnold, MO
  • NPI 1649565961
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1871605808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 JEFFCO BLVD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102713",
            "telephone_number": "636-296-1222",
            "fax_number": "636-296-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 JEFFCO BLVD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102713",
            "telephone_number": "636-296-1222",
            "fax_number": "636-296-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004018211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "192583",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROVIDER #",
            "identifier": "686170",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "P00453018",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP PIN",
            "identifier": "228713",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH PROVIDER #",
            "identifier": "2247716",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Elena Bowling
• Aubrey N Boyd, LPC
• Gwen Boyd, RN
• Jessica E Boyer, PTA
• Bradley Chiropractic LLC
• Brooke Bradow, OTD, OTR/L
• Melanie R Brady, LCSW
• Melissa A Brennan, MA, PLPC
• Jamie A Brew, DPT
• Rachel Briesacher

• Chiropractor in Arnold, MO
• Providers in Arnold, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.