Individual provider Active NPI

Bradley Howard Pike, FNP-C

  • Family Nurse Practitioner
  • Red Bluff, CA
National Provider Identifier
1972594125
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027854 Issued in CA
Practice address
2490 Sister Mary Columba Dr
Red Bluff, CA 96080-4356
Phone
(530) 529-2966
Fax
(530) 527-7308
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95027854 CA Primary
Chiropractor 111N00000X DC25368 CA

Addresses

Primary practice location

2490 Sister Mary Columba Dr
Red Bluff, CA 96080-4356

Mailing address

3609 Bechelli LN Ste a
Redding, CA 96002-2453
Phone (530) 222-1777

Other practice location 1

3609 Bechelli Ln Ste A
Redding, CA 96002-2453
Phone (530) 222-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090209000590 CA Practitioner - Chiropractic 1850315847
I20240708001790 CA Practitioner - Nurse Practitioner 1850315847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
DC25368CAMDChiropractor
95027854CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pike Family Chiropractic, Inc Chiropractor CurrentSince Apr 30, 2003 Accepting new patients
Redding Kremer Family Chiropractic Chiropractor Current Accepting new patients
Shasta Integrative Health CurrentSince Feb 11, 2010 Accepting new patients
Dignity Health CurrentSince May 25, 2024 Accepting new patients
Dignity Health Current Accepting new patients
Dignity Health CurrentSince May 25, 2024 Accepting new patients
Kremer Chiropractic, Inc. Chiropractor Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

408 Pine St
Mount Shasta, CA 96067
Phone (530) 926-3222

2490 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 528-1768

1615 Main St
Red Bluff, CA 96080
Phone (530) 527-0220

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

3609 Bechelli Ln
Ste A
Redding, CA 96002
Phone (530) 222-1777

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1972594125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 BECHELLI LN STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022453",
            "telephone_number": "530-222-1777",
            "fax_number": "530-222-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 SISTER MARY COLUMBA DR",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804356",
            "telephone_number": "530-529-2966",
            "fax_number": "530-527-7308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3609 Bechelli Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960022453",
            "country_code": "US",
            "telephone_number": "530-222-1777",
            "fax_number": "530-222-1879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIKE",
        "first_name": "BRADLEY",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027854",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

Sources for this page

Verify at the official NPI Registry.