Bradley Mundorf, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5025 Issued in NC

Practice address

414 E Front St
Statesville, NC 28677-5909

Phone

(704) 873-2831

NPI assigned

Apr 29, 2019

Last updated

Apr 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Binder Chiropractic PAGroup PAC ID 9739149790, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Binder Chiropractic, P.a.

  • Chiropractor
  • Statesville, NC
  • NPI 1306920897
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1932763646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E FRONT ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775909",
            "telephone_number": "704-873-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E FRONT ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775909",
            "telephone_number": "704-873-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDORF",
        "first_name": "BRADLEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Michelle Moss, NP
• Sarah Amanda Moss, R.N.
• Mohammed Moustafa
• Ellyn Pearson Mullis, M.D.
• Fayedra Mumme, LPC
• James P Murphy, M.D.
• Norman Dwaine Murphy, LPN
• Susan Murray
• George E Muse Jr., PHD
• Prem Kumar Muthu, MD

• Chiropractor in Statesville, NC
• Providers in Statesville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.

Verify at the official NPI Registry.