BRADLEY WILLIAM CAROLAN


Address: 9809 W 110th Street, Bld. 36, Overland Park, KS 66210-1401
Phone: 9136488111

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CAQH 12285054 01

Office Location

Street Address 9809 W 110TH STREET,
BLD. 36
City OVERLAND PARK
State KS
Zip Code 66210-1401

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City OVERLAND PARK
Zip Code 66210

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Dataset Information

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.

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