Mark Bradley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

816 Issued in VT

Practice address

507 Shelburne Rd
Burlington, VT 05401-5008

Phone

(802) 864-5150

Fax

(802) 860-0668

NPI assigned

Nov 10, 2006

Last updated

Oct 23, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Associates in Chiropractic & Kinesiology

  • Chiropractor
  • Burlington, VT
  • NPI 1013088426
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1982775391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 SHELBURNE RD",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015008",
            "telephone_number": "802-864-5150",
            "fax_number": "802-860-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 SHELBURNE RD",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015008",
            "telephone_number": "802-864-5150",
            "fax_number": "802-860-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSVT",
            "identifier": "5962",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna D. Boyce, MSW
• Ashley Boyd, A.P.R.N.
• James Thomas Boyd, MD
• Talia Boyers, DO
• Heather Appleton Bradeen, MD
• Nadiya Cresencia Bradley
• Danielle Blythe Bragg, LICSW
• Jean Brana, CRNA
• Ashley Marlowe Branagan
• Richard Frank Branda, M.D.

• Chiropractor in Burlington, VT
• Providers in Burlington, VT by specialty
• Chiropractor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.