DR. JON ANTHONY BRADBURY (NPI# 1598794083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598794083 |
| Entity Type | Individual |
| Full Name | DR. JON ANTHONY BRADBURY |
| Credential | D.C. |
| Practice Address |
3498 S 4th St Terre Haute IN 47802-4168 |
| Practice Telephone | 8122989800 |
| Practice Fax Number | 8122989000 |
| Mailing Telephone | 8122989800 |
| Mailing Fax Number | 8122989000 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08001892A | IN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ACN/UNITED HEALTH | 651955 | 01 |
| IN | AETNA | 7343358 | 01 |
| IN | 200299580 | 05 | |
| IN | CAQH | 10780544 | 01 |
| IN | ANTHEM | 000000385978 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5101 S Us Highway 41, Terre Haute, IN 478024790 | 8122989800 | 8122989000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679514285 | Jon Edwin Bradbury | Family Medicine | 929 Central Ave. Nw, East Grand Forks, MN 56721 | 2006-06-08 |
| Street Address |
3498 S 4TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802-4168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750417309 | Jonathan S. Mcglothan | Clinic/Center | 3498 S 4th St, Terre Haute, IN 47802-4168 | 2007-02-26 |
| 1750434882 | Fhp, Inc | Internal Medicine | 3498 S 4th St, Terre Haute, IN 47802-4168 | 2007-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| Find all providers in zip 47802 | ||||
| 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 |
|---|---|---|---|---|
| 1750641130 | Premier Practice Development Inc Health Source of Savannah | Chiropractor | 4282 Cart Path, Terre Haute, IN 47802-8161 | 2012-05-21 |
| 1669739199 | James L Roshel | Chiropractor | 4251 S 7th St, Terre Haute, IN 47802-4367 | 2012-04-23 |
| 1467750463 | Stephanie S Anderson | Chiropractor | 1549 Fort Harrison Rd, Terre Haute, IN 47804-1332 | 2011-03-01 |
| 1841500584 | Healing Hands Chiropractic | Chiropractor | 4532 S Redwood St, Terre Haute, IN 47802-4536 | 2010-10-15 |
| 1003003534 | Etheridge Chiropractic Clinic Inc | Chiropractor | 631 S 25th Street, Terre Haute, IN 47803 | 2007-09-28 |
| 1972796316 | Christi Jean Houtz | Chiropractor | 17 S 6th St, Terre Haute, IN 47807-3510 | 2007-08-20 |
| 1437280674 | Edward O Barksdale | Chiropractor | 2955 S 13th St, Terre Haute, IN 47802-3211 | 2007-03-08 |
| 1053459628 | Stephen L Price | Chiropractor | 3128 Poplar St, Terre Haute, IN 47803-2665 | 2007-02-03 |
| 1427168517 | Eugene Wesley Etheridge Jr. | Chiropractor | 631 South 25th Street, Terre Haute, IN 47803 | 2006-08-30 |
| 1255361713 | Michael A Toney | Chiropractor | 1815 S 3rd St, Terre Haute, IN 47802-1919 | 2006-07-03 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
Please comment or provide details below to improve the information on DR. JON ANTHONY BRADBURY.
| 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.