Jeanelle Marie Bradshaw, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556766 Issued in VA

Practice address

602 S King St Ste 301
Leesburg, VA 20175-3919

Phone

(703) 723-9355

Fax

(888) 792-7952

NPI assigned

Mar 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Beyond Wellness LLC

  • Physical Therapist
  • Ashburn, VA
  • NPI 1265598668

  Chiropractor

  NPD (past)
• Quality Chiropractic

  • Sports Physician Chiropractor
  • Falls Church, VA
  • NPI 1578556270
  NPD (past)

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1932422896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35979 BELL RD",
            "city": "ROUND HILL",
            "state": "VA",
            "postal_code": "201412442",
            "telephone_number": "037-239-3557",
            "fax_number": "888-792-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S KING ST STE 301",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753919",
            "telephone_number": "703-723-9355",
            "fax_number": "888-792-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "JEANELLE",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Sullivan Bourke Jr., D.P.M.
• Kathy Lynn Bowen, O.D
• Ashley Lee Bowers, M.A., M.S., QMHP
• David Thomas Boyd, M.D., M.B.A.
• Rebecca Robinson Brabender, M.D.
• Akshar Ashok Brahmbhatt, RPH
• Bryanne Brandt, MSORT/L
• Jan Julius Brandt
• Keith Manning Brassfield, D.C.
• Jessica Braun, NP

• Chiropractor in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; 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.