BRADLEY WILLIAM CAROLAN (NPI# 1023421179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023421179 |
Entity Type | Individual |
Full Name | BRADLEY WILLIAM CAROLAN |
Credential | D.C. |
Practice Address |
9809 W 110th Street Bld. 36 Overland Park KS 66210-1401 |
Mailing Address |
9209 W 110th St Bld. 36 Overland Park KS 66210-1401 |
Practice Telephone | 9136488111 |
Mailing Telephone | 9136488111 |
Enumeration Date | 2014-06-06 |
Last Update Date | 2014-06-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
KS-01-05421 | KS | Chiropractic Providers |
N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
KS-01-05421 | KS | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CAQH | 12285054 | 01 |
Street Address |
9809 W 110TH STREET, BLD. 36 |
City | OVERLAND PARK |
State | KS |
Zip Code | 66210-1401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
Find all providers in zip 66210 |
Taxonomy Code | 111NS0005X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Sports Physician |
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669729737 | Dynamic Athletics Health & Performance Institute LLC | Chiropractor | 9111 Flint St, Overland Park, KS 66214-1737 | 2012-08-08 |
1912037656 | Craig Wayne Storck | Chiropractor | 11815 Caenen St, Overland Park, KS 66210-2733 | 2007-03-06 |
1972019594 | Elite Chiro Care | Chiropractor | 7121 W 95th St, Overland Park, KS 66212 | 2017-12-19 |
1699118372 | Steven C Flanery | Chiropractor | 10425 Marty St, Suite 100, Overland Park, KS 66212-2569 | 2013-04-11 |
1770853327 | Chris Alan Weir | Chiropractor | 14310 Metcalf Ave Ste 120, Overland Park, KS 66223 | 2012-01-12 |
1891026852 | K B Smith, D.c., LLC | Chiropractor | 9209 W 110th St Bldg 36, Overland Park, KS 66210-1401 | 2010-01-14 |
1457390817 | Jennifer Leigh Schindler | Chiropractor | 7811 Marty St, Overland Park, KS 66204-2925 | 2006-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457992448 | Tyler James Panko | Chiropractor | 7829 E Rockhill St Ste 303, Wichita, KS 67206-3914 | 2019-10-01 |
1023673068 | Jack Edward Gallagher | Chiropractor | 13400 Briar Dr Ste B, Leawood, KS 66209-3433 | 2019-05-06 |
1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
1982014205 | Wilson Chiropractic and Wellness | Chiropractor | 1632 N Porter Ave, Wichita, KS 67203-2921 | 2014-05-08 |
1760811822 | Bluechip Spine & Sports Specialists, LLC | Chiropractor | 8336 E 21st St N, Suite #300, Wichita, KS 67206-2948 | 2013-11-08 |
1962739888 | Joseph Charles Kingry-staton | Chiropractor | 2111 E Crawford St, Salina, KS 67401-1326 | 2009-11-13 |
1366699407 | Performance Chiropractic | Chiropractor | 708 S Rogers Rd Ste A, Olathe, KS 66062-1739 | 2008-08-20 |
1578719340 | Jesse D Walden | Chiropractor | 11652 W. 75 St., Shawnee, KS 66214 | 2008-08-13 |
1033303136 | Casey T Hummel | Chiropractor | 550 North Andover Road, Andover, KS 67002 | 2007-08-31 |
1902000607 | Ryan E Stevens | Chiropractor | 2000 W 47th Pl, Westwood, KS 66205-1803 | 2007-06-14 |
Find all providers with the same taxonomy |
City | OVERLAND PARK |
Zip Code | 66210 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.