BRADLEY CHIROPRACTIC CENTER, LLC (NPI# 1144622184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144622184 |
| Entity Type | Organization |
| Organization Name | BRADLEY CHIROPRACTIC CENTER, LLC |
| Practice Address |
330 N Vandeventer Ave Saint Louis MO 63108-3104 |
| Practice Telephone | 3143712225 |
| Practice Fax Number | 3145332404 |
| Mailing Telephone | 3143712225 |
| Mailing Fax Number | 3145332404 |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |
| Authorized Official Name | DARRYL LIONEL BRADLEY (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 3143712225 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2001010035 | MO | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700211489 | Bradley Chiropractic Center, LLC | Chiropractor | 301 N Missouri Ave, Suite 17, Corning, AR 72422-1600 | 2013-09-12 |
| Street Address |
330 N VANDEVENTER AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170433 | Morgan P Morris | Chiropractor | 3611 S Grand Blvd Ste 200, Saint Louis, MO 63118-3403 | 2019-12-06 |
| 1891351193 | Alexander Johannes Olalani Mcguire | Chiropractor | 3247 Suson Ct Apt 1, Saint Louis, MO 63139-1832 | 2019-05-13 |
| 1386104727 | John Carroll Calhoun | Chiropractor | 2951 Dougherty Ferry Rd Ste 104, Saint Louis, MO 63122-3373 | 2019-03-21 |
| 1629548680 | Kathryn Bueltmann | Chiropractor | 4600 S Lindbergh Blvd Ste 2, Saint Louis, MO 63127-1831 | 2018-12-03 |
| 1073089413 | Benjamin Lee Gokenbach | Chiropractor | 4242 Telegraph Rd, Saint Louis, MO 63129-2658 | 2018-10-23 |
| 1376019992 | Young Ho Bok | Chiropractor | 8229 Clayton Rd Ste 204, Saint Louis, MO 63117-1155 | 2018-10-22 |
| 1952876732 | Paige Marie Dines | Chiropractor | 1883 W Monroe Rd Unit B, Saint Louis, MI 48880-8702 | 2018-10-09 |
| 1861975468 | Danielle Elise Pfyl Fishel | Chiropractor | 325 Watson Plz, Saint Louis, MO 63126-1964 | 2018-09-10 |
| 1447756093 | Meaghan Coleman | Chiropractor | 8949 Natural Bridge Rd, Saint Louis, MO 63121-3916 | 2018-04-03 |
| 1457854994 | Hunter Schaff | Chiropractor | 4625 Lindell Blvd Ste 401, Saint Louis, MO 63108-3725 | 2018-03-12 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
Please comment or provide details below to improve the information on BRADLEY CHIROPRACTIC CENTER, LLC.
| 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.