Barry Rex Bradford, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2572 Issued in OH

Practice address

9031 Mentor Ave
Mentor, OH 44060-6463

Phone

(440) 255-1315

Fax

(440) 255-5832

NPI assigned

May 8, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Atlantic Medical Group

  • Multi-Specialty Clinic/Center
  • Canton, OH
  • NPI 1770968943
  Medicare reassignment NPD
• Estadt Chiropractic Center Inc

  • Chiropractor
  • Mentor, OH
  • NPI 1245376227
  NPD (past)
• Ohio Valley Physicians Inc

  • Substance Abuse Rehabilitation Facility
  • South Point, OH
  • NPI 1750776068
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1881807618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9031 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606463",
            "telephone_number": "440-255-1315",
            "fax_number": "440-255-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9031 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606463",
            "telephone_number": "440-255-1315",
            "fax_number": "440-255-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "BARRY",
        "middle_name": "REX",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THOMAS LEMIRE DC LLC - GROUP NPI",
            "identifier": "1770938227",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2078308",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick T Boylan, MD
• Kenneth Andrew Boyle Sr., OD
• James Matthew Bozic, O.D.
• Laura B Bracknell, DO
• Courtney Bradac
• Bradley Johnson D.M.D., M.S.D., LLC
• Ariel E. Braff, QMHS
• Megan Branstein
• Catharine Brasdovich, LPC
• Diamond Brasmon, LPC

• Chiropractor in Mentor, OH
• Providers in Mentor, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.