Active NPI
Bradley James Mawer, D.C.
- Chiropractor
- Manchester, MO
National Provider Identifier
1902912595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2004028860
- Practice address
- 14444 Manchester Road
Manchester, MO 63011 - Phone
- (636) 527-6333
- Fax
- (636) 527-6334
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2004028860 | MO | Primary |
Addresses
Primary practice location
14444 Manchester Road
Manchester, MO 63011
Mailing address
14444 Manchester Road
Manchester, MO 63011
Phone (636) 527-6333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1755 Stump Rd
Dardenne Prairie, MO 63368-6716
Phone (636) 922-0777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fink Chiropractic | Chiropractor | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Saint Charles, MO
- NPI 1104975424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1902912595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14444 MANCHESTER ROAD",
"city": "MANCHESTER",
"state": "MO",
"postal_code": "63011",
"telephone_number": "636-527-6333",
"fax_number": "636-527-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14444 MANCHESTER ROAD",
"city": "MANCHESTER",
"state": "MO",
"postal_code": "63011",
"telephone_number": "636-527-6333",
"fax_number": "636-527-6334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAWER",
"first_name": "BRADLEY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2004028860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.