Individual provider Active NPI

Bradley Troy Walker, D.C.

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1952583502
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3427 Issued in OH
Practice address
1580 King Ave
Suite 204
Columbus, OH 43212-2058
Phone
(614) 488-6820
Fax
(614) 488-6830
NPI assigned
Dec 5, 2007
Last updated
Jul 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3427 OH Primary

Addresses

Primary practice location

1580 King Ave
Suite 204
Columbus, OH 43212-2058

Mailing address

1580 King Ave
Suite 204
Columbus, OH 43212-2058
Phone (614) 488-6820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311000889 OH Practitioner - Chiropractic 0648172742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Wellness Center IncGroup PAC ID 7416030911, 4 clinicians

Practice addresses (Care Compare)

1351 King Ave
Columbus, OH 43212-2220
Phone (614) 488-6820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Chiropractic Co LLC Chiropractor CurrentSince Aug 21, 2017 Accepting new patients

Locations

1580 King Ave
Ste 204
Columbus, OH 43212
Phone (614) 488-6820

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1952583502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 KING AVE",
            "address_2": "SUITE 204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122058",
            "telephone_number": "614-488-6820",
            "fax_number": "614-488-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 KING AVE",
            "address_2": "SUITE 204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122058",
            "telephone_number": "614-488-6820",
            "fax_number": "614-488-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BRADLEY",
        "middle_name": "TROY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.