Active NPI
Kerry Alyssa Bradley, D.C.
- Chiropractor
- Houston, TX
National Provider Identifier
1922302512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11384
- Practice address
- 14770 Memorial Dr
Suite 110
Houston, TX 77079-5252 - Phone
- (281) 496-7333
- Fax
- (281) 496-7337
- NPI assigned
- Dec 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 11384 | TX | Primary |
Addresses
Primary practice location
14770 Memorial Dr
Suite 110
Houston, TX 77079-5252
Mailing address
14770 Memorial Dr
Suite 220
Houston, TX 77079-5252
Phone (281) 493-5535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11384 | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1922302512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14770 MEMORIAL DR",
"address_2": "SUITE 220",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770795252",
"telephone_number": "281-493-5535",
"fax_number": "281-493-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14770 MEMORIAL DR",
"address_2": "SUITE 110",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770795252",
"telephone_number": "281-496-7333",
"fax_number": "281-496-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "KERRY",
"middle_name": "ALYSSA",
"name_prefix": "Miss",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-22",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.