Elite Physical Medicine

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12049 Issued in TX

Legal business name

ELITE PHYSICAL MEDICINE

Practice address

2711 N Haskell Ave
2ND Floor
Dallas, TX 75204-2911

Phone

(972) 885-0440

Fax

(888) 317-7686

NPI assigned

Sep 30, 2015

Organization subpart

No

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

Authorized official

Name

Bradley Allen Hall, D.C.

Title

Director of Physical Medicine

Phone

(972) 339-2464

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1871963025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 TYE LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750563936",
            "telephone_number": "972-339-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 N HASKELL AVE",
            "address_2": "2ND FLOOR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042911",
            "telephone_number": "972-885-0440",
            "fax_number": "888-317-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL MEDICINE",
        "authorized_official_telephone_number": "972-339-2464",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Lab Solutions LLC
• Elite Medical Group
• Elite Mobile Dental
• Elite Neuro Solutions, LLC
• Elite Pain Management and Rehab
• Elite Primary Care
• Elite Primary Care
• Elite Touch Behavioral Health Clinic PLLC
• Elite-Care Cardiology & Vascular Center PLLC
• Elite-Care Rheumatology & Infusion Center PLLC

• Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.