Active NPI
Caleb Clifford Braddock, D.C.
- Chiropractor
- Van Alstyne, TX
National Provider Identifier
1952420366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10170
- Practice address
- 119 N Main St
Van Alstyne, TX 75495 - Phone
- (903) 482-1234
- Fax
- (903) 482-1232
- NPI assigned
- Mar 28, 2007
- 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 | 10170 | TX | Primary |
Addresses
Primary practice location
119 N Main St
Van Alstyne, TX 75495
Mailing address
PO Box 1782
Van Alstyne, TX 75495-1782
Phone (903) 482-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8X8450 | Other | TX | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
170 N Main St
Van Alstyne, TX 75495-9700
Phone (903) 482-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braddock Chiropractic & Family Wellness | Chiropractor | Current | Accepting new patients |
| Braddock Chiropractic and Family Wellness | 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
- Van Alstyne, TX
- NPI 1114193638
-
- Chiropractor
- Van Alstyne, TX
- NPI 1053506857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1952420366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1782",
"city": "VAN ALSTYNE",
"state": "TX",
"postal_code": "754951782",
"telephone_number": "903-482-1234",
"fax_number": "903-482-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 N MAIN ST",
"city": "VAN ALSTYNE",
"state": "TX",
"postal_code": "75495",
"telephone_number": "903-482-1234",
"fax_number": "903-482-1232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADDOCK",
"first_name": "CALEB",
"middle_name": "CLIFFORD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8X8450",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Van Alstyne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.