Organization Active NPI

Bradley Chiropractic Services LLC

  • Chiropractor
  • Aiken, SC
National Provider Identifier
1902102437
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRADLEY CHIROPRACTIC SERVICES LLC
Practice address
425 Laurens St NW
Aiken, SC 29801-3915
Phone
(803) 641-9191
Fax
(803) 648-9004
NPI assigned
Feb 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Dr. Blair Stephen Bradley, DCNPI 1265735427
Title
Owner
Phone
(803) 641-9191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

425 Laurens St NW
Aiken, SC 29801-3915

Mailing address

PO Box 3486
Aiken, SC 29802-3486
Phone (803) 641-9191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110413000296 SC Part B Supplier - Clinic/Group Practice 1153505342 Receives reassigned benefits from 2 practitioners
Practice locations: Aiken, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1902102437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3486",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298023486",
            "telephone_number": "803-641-9191",
            "fax_number": "803-648-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LAURENS ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013915",
            "telephone_number": "803-641-9191",
            "fax_number": "803-648-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY CHIROPRACTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-641-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.