Active NPI
Bradley R Ralston, D.C.
- Neurology Chiropractor
- Indianapolis, IN
National Provider Identifier
1912945536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 08001899A
- Practice address
- 9302 N Meridian St
Ste 299
Indianapolis, IN 46260-1842 - Phone
- (317) 848-6000
- Fax
- (317) 848-6000
- NPI assigned
- Jun 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 08001899A | IN | Primary |
| Chiropractor | 111N00000X | 08001899A | IN |
Addresses
Primary practice location
9302 N Meridian St
Ste 299
Indianapolis, IN 46260-1842
Mailing address
9302 N Meridian St
Ste 299
Indianapolis, IN 46260-1842
Phone (317) 848-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000198956 | Other | BLUE CROSS/BLUE SHIELD | |
| 200363370A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100809000780 | IN | Practitioner - Chiropractic | 7315070570 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1912945536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9302 N MERIDIAN ST",
"address_2": "STE 299",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601842",
"telephone_number": "317-848-6000",
"fax_number": "317-848-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9302 N MERIDIAN ST",
"address_2": "STE 299",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601842",
"telephone_number": "317-848-6000",
"fax_number": "317-848-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALSTON",
"first_name": "BRADLEY",
"middle_name": "R",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "IN",
"license": "08001899A",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001899A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000000198956",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200363370A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.