Bradley Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BRADLEY CHIROPRACTIC

Practice address

7720 Shedhorn Drive Suite B
Boseman, MT 59718-8108

Phone

(406) 582-8451

Fax

(406) 582-8471

NPI assigned

Mar 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William David Bradley, DCNPI 1801915475

Title

Owner

Phone

(406) 582-8451

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William David Bradley, D.C.

  • Chiropractor
  • Belgrade, MT
  • NPI 1801915475
  NPD (past) Authorized official

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962461962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 SHEDHORN DRIVE SUITE B",
            "city": "BOSEMAN",
            "state": "MT",
            "postal_code": "597188108",
            "telephone_number": "406-582-8451",
            "fax_number": "406-582-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 SHEDHORN DRIVE SUITE B",
            "city": "BOSEMAN",
            "state": "MT",
            "postal_code": "597188108",
            "telephone_number": "406-582-8451",
            "fax_number": "406-582-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-582-8451",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40791",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.