Michelle L. Bradshaw, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2158 Issued in TN

Practice address

913 Conference Dr
Suite 104
Goodlettsville, TN 37072-1991

Phone

(615) 859-6644

Fax

(615) 859-5577

NPI assigned

May 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bradshaw Chiropractic

  • Chiropractor
  • Ithaca, NY
  • NPI 1083668297
  NPD (past) Authorized official

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902853237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 CONFERENCE DR",
            "address_2": "SUITE 104",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721991",
            "telephone_number": "615-859-6644",
            "fax_number": "615-859-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 CONFERENCE DR",
            "address_2": "SUITE 104",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721991",
            "telephone_number": "615-859-6644",
            "fax_number": "615-859-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "MICHELLE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "010839",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia L Boskind, M.D.
• James J Botsko, M.D.
• John Boyd Jr., DPM
• Susan Bracey, FNP, MSN, BSN
• Katie Elizabeth Bradford, DDS
• John Matthew Bratcher, CRNA
• Kenneth W. Brawner, O.D.
• Quintina Brewer, ME.D
• Kerry Wade Brito, RN
• Tomasa Rosanna Brito

• Chiropractor in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.