DR. BRADLEY MARK SHEPHERD (NPI# 1598915241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598915241 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY MARK SHEPHERD |
| Credential | D.C. |
| Practice Address |
205 Boutz Road Building 4 Suite 2 Las Cruces NM 88005 |
| Mailing Address |
4541 Paseo Azul Las Cruces NM 88011-0935 |
| Practice Telephone | 5759151550 |
| Mailing Telephone | 8018339662 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2020-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 14070 | TX | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 2107 | NM | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 71183171202 | UT | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4541 Paseo Azul, Las Cruces, NM 880110935 | (801) 833-9662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649327594 | Bradley David Shepherd | Internal Medicine | 1001 Summit Blvd Ste 200, Brookhaven, GA 30319-6410 | 2007-01-04 |
| Street Address |
205 BOUTZ ROAD BUILDING 4 SUITE 2 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| 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 |
|---|---|---|---|---|
| 1669949756 | Josh W Larson | Chiropractor | 3530 Foothills Rd Ste G, Las Cruces, NM 88011-3621 | 2018-10-27 |
| 1982964268 | Hawkins Chiropractic Care, LLC | Chiropractor | 2211 North Main St, Ste 6, Las Cruces, NM 88001-1136 | 2012-05-21 |
| 1043529027 | Charles Irvin Lenz | Chiropractor | 1700 E Amador Ave, Suite A, Las Cruces, NM 88001-3119 | 2010-09-24 |
| 1417185489 | Southwest Chiropractic Inc | Chiropractor | 201 S Solano Dr Ste C, Las Cruces, NM 88001-3010 | 2009-06-29 |
| 1205075462 | Jamie R Hawkins | Chiropractor | 3961 E Lohman Ave Ste 22, Las Cruces, NM 88011-8272 | 2009-02-11 |
| 1992950927 | Whole Health Chiropractic Center | Chiropractor | 755 South Telshor Blvd, 102f, Las Cruces, NM 88011 | 2008-11-18 |
| 1598934408 | Kenneth Mark Romney | Chiropractor | 4500 Chelsea Dr, Las Cruces, NM 88005 | 2008-02-25 |
| 1669678884 | Bones Inc | Chiropractor | 755 Telshor Blvd, #102-b, Las Cruces, NM 88011-4686 | 2007-06-25 |
| 1326244476 | Ryan Gutierrez | Chiropractor | 4131 Camino Coyote, Suite B, Las Cruces, NM 88011-3000 | 2007-06-25 |
| 1164573085 | Joseph Wilson | Chiropractor | 755 S Telshor Blvd Ste 102, Las Cruces, NM 88011-4688 | 2007-01-16 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
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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.