NPI 1811164080 · live from the CMS NPI Registry
Joseph J Bradley, D.C., C.Ad.
Chiropractor in Las Vegas, NV. National Provider Identifier 1811164080, active.
NPI record
| NPI | 1811164080 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 810 S Durango Dr, Suite 103, Las Vegas, NV 89145 |
| Practice phone | 702-839-3839 |
| Enumerated | May 15, 2008 |
| Last updated | May 15, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | B00889 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.