DR. BRADLEY A DAVIS (NPI# 1942546064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942546064 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY A DAVIS |
| Credential | D.C. |
| Practice Address |
731 Sabrina Dr Suite B East Peoria IL 61611-3581 |
| Practice Telephone | 3096997222 |
| Mailing Telephone | 3096997222 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.012215 | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1346324746 | Bradley J Davis | Psychiatry & Neurology | 8715 Massey Cir, Colorado Springs, CO 80920-7127 | 2006-10-24 |
| 1811989585 | Bradley E Davis | Urology | 10550 Quivira Rd, Ste 105, Overland Park, KS 66215-2306 | 2005-08-18 |
| 1932671872 | Bradley Earl Davis | Occupational Therapist | 630 Kenmoor Ave Se, Grand Rapids, MI 49546-8626 | 2018-12-17 |
| 1083168793 | Bradley T Davis | Nurse Practitioner | 910 N 5th St, Cordele, GA 31015 | 2016-08-10 |
| 1730573650 | Bradley Davis | Emergency Medicine | 1740 W Taylor St, Chicago, IL 60612-7232 | 2015-03-28 |
| 1790197101 | Bradley Davis | Family Medicine | 7600 River Rd, North Bergen, NJ 07047-6217 | 2014-05-20 |
| 1801026893 | Bradley Carl Davis | Radiology | 6424 E Broadway Rd, Ste 101, Mesa, AZ 85206-1750 | 2009-07-23 |
| 1508039496 | Bradley Scott Davis | Anesthesiology | 7 Vanderbilt Park Dr, Asheville, NC 28803-1700 | 2008-04-11 |
| 1154427300 | Bradley A Davis | Chiropractor | 5650 Mexico Rd, Ste 20, Saint Peters, MO 63376-1696 | 2006-09-15 |
| Street Address |
731 SABRINA DR SUITE B |
| City | EAST PEORIA |
| State | IL |
| Zip Code | 61611-3581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841594850 | Michael Christopher Walz | Chiropractor | 731 Sabrina Dr, East Peoria, IL 61611-3581 | 2011-01-05 |
| 1215301254 | River City Chiropractic Center, LLC | Chiropractor | 731 Sabrina Dr, Suite B, East Peoria, IL 61611-3581 | 2015-11-13 |
| 1962745232 | Central Illinois Center for Tmj and Facial Pain PC | Dentist | 731 Sabrina Dr, Suite A, East Peoria, IL 61611-3581 | 2013-04-04 |
| 1346546421 | Central Illinois Center for Tmj and Facial Pain, P.C. | Dentist | 731 Sabrina Dr, Suite A, East Peoria, IL 61611-3581 | 2011-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548736390 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 133 Spinder Drive Ste 4015, East Peoria, IL 61611 | 2018-10-19 |
| 1083128474 | Abc Counseling & Family Services | Clinic/Center | 111 W. Washington St., Suite 410b, East Peoria, IL 61611 | 2017-11-22 |
| 1386162253 | Cheryl Denise Hagedorn | Speech-Language Pathologist | 306 Eckley Avenue, East Peoria, IL 61611 | 2017-08-31 |
| 1710342076 | Rebecca Uthe | Physical Therapist | 901 Illini Drive, East Peoria, IL 61611 | 2015-12-30 |
| 1669812103 | Christopher Webb | Dentist | 360 West Washington Street, East Peoria, IL 61611 | 2013-06-28 |
| 1386985380 | Dental Professionals of Illinois, P.C. | Dentist | 368 W. Washington St., East Peoria, IL 61611 | 2013-03-15 |
| 1730432675 | Synergy Healthcare Physical Medicine Sc | Chiropractor | 350 Cimmeron Drive, East Peoria, IL 61611 | 2012-10-16 |
| 1508122029 | Daniel Benjamin Gans | Radiology | 111 Oakwood Rd, East Peoria, IL 61611 | 2012-04-10 |
| 1326288390 | Sara Sabry Fouad Rizk | Pharmacist | 2540 East Washington Street, East Peoria, IL 61611 | 2009-03-03 |
| 1356466007 | Tazwood Mental Health Center, Inc. | Counselor | 111 W. Washington Street, Suite 230, East Peoria, IL 61611 | 2007-03-20 |
| Find all providers in zip 61611 | ||||
| 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 |
|---|---|---|---|---|
| 1164941308 | Central Illinois Chiropractic Center PC | Chiropractor | 731 Sabrina Dr Unit B, East Peoria, IL 61611-3582 | 2017-09-19 |
| 1730432675 | Synergy Healthcare Physical Medicine Sc | Chiropractor | 350 Cimmeron Drive, East Peoria, IL 61611 | 2012-10-16 |
| 1841594850 | Michael Christopher Walz | Chiropractor | 731 Sabrina Dr, East Peoria, IL 61611-3581 | 2011-01-05 |
| 1861686503 | Glas Chiropractic S.c. | Chiropractor | 1415 W Riverview Dr, East Peoria, IL 61611-9647 | 2007-09-05 |
| 1073612180 | Callen R Childs | Chiropractor | 1605 E Washington St, East Peoria, IL 61611 | 2006-09-22 |
| 1720015134 | William Greg Weinman | Chiropractor | 1100 E Washington St, East Peoria, IL 61611-2786 | 2006-06-28 |
| 1215301254 | River City Chiropractic Center, LLC | Chiropractor | 731 Sabrina Dr, Suite B, East Peoria, IL 61611-3581 | 2015-11-13 |
| 1396944559 | Dickerson Chiropractic and Wellness Center PC | Chiropractor | 100 N Main St, Suite 101, East Peoria, IL 61611-2533 | 2007-07-17 |
| 1144340860 | Gary R. Childs,dc,sc | Chiropractor | 1605 E Washington St, East Peoria, IL 61611-2867 | 2007-03-29 |
| 1588733711 | Gary R Childs | Chiropractor | 1605 E Washington St, East Peoria, IL 61611 | 2006-11-06 |
| Find all providers in EAST PEORIA | ||||
| City | EAST PEORIA |
| Zip Code | 61611 |
Please comment or provide details below to improve the information on DR. BRADLEY A DAVIS.
| 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.