Organization Active NPI

Brad Walker DC PC

  • Chiropractor
  • Lumberton, TX
National Provider Identifier
1972796829
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8191 Issued in TX
Legal business name
BRAD WALKER DC PC
Practice address
837 N Main St SPC 110
Lumberton, TX 77657-1018
Phone
(409) 755-7246
Fax
(409) 755-7629
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Dr. Bradford Lee Walker, D.C.
Title
Chiropractor
Phone
(409) 755-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8191 TX Primary

Addresses

Primary practice location

837 N Main St SPC 110
Lumberton, TX 77657-1018

Mailing address

PO Box 8023
Lumberton, TX 77657-0023
Phone (409) 755-7246

Other names 1

  • LUMBERTON CHIROPRACTIC HEALTH CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100817000990 TX Part B Supplier - Clinic/Group Practice 5698809390 Receives reassigned benefits from 1 practitioner
Practice locations: Lumberton, TX

National Provider Directory

National Provider Directory

Locations

837 N Main St
Ste 110
Lumberton, TX 77657
Phone (409) 755-7246

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1972796829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8023",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776570023",
            "telephone_number": "409-755-7246",
            "fax_number": "409-755-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 N MAIN ST SPC 110",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776571018",
            "telephone_number": "409-755-7246",
            "fax_number": "409-755-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD WALKER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "409-755-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUMBERTON CHIROPRACTIC HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lumberton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.