DR. MICHAEL DOUGLAS BRADLEY (NPI# 1063631075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063631075 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DOUGLAS BRADLEY |
| Credential | D.C. |
| Practice Address |
2306 W Main St Marion IL 62959-1179 |
| Practice Telephone | 6189975959 |
| Practice Fax Number | 6189933161 |
| Mailing Telephone | 6189975959 |
| Mailing Fax Number | 6189933161 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0038005625 | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487179396 | Michael Bradley | Driver | 1202 Taylor St, Fredericksburg, VA 22401-2664 | 2017-08-11 |
| 1346438231 | Michael E Bradley | Occupational Therapist | 4179 Woodley Creek Rd, Jacksonville, FL 32218-9185 | 2007-10-04 |
| 1225131444 | Michael James Bradley | Ophthalmology | 11820 S State St, Draper, UT 84020-7133 | 2006-09-06 |
| 1982250411 | Michael Bradley | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2019-08-12 |
| 1841758604 | Michael Bradley | Counselor | 815 Grandview Rd, Oil City, PA 16301-2077 | 2019-03-11 |
| 1386091346 | Michael Bradley | Licensed Psychiatric Technician | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2016-05-19 |
| 1770954166 | Michael Bradley | Behavioral Analyst | 1469 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2015-10-12 |
| 1265860878 | Michael Shane Bradley | Physician Assistant | 404 Shoppers Dr, Winchester, KY 40391-1378 | 2013-10-16 |
| 1922270644 | Michael Joseph Bradley | Internal Medicine | 7101 Jahnke Rd, Hca, Richmond, VA 23225 | 2008-04-02 |
| 1972771293 | Michael Douglas Bradley | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362 | 2008-02-20 |
| Street Address |
2306 W MAIN ST |
| City | MARION |
| State | IL |
| Zip Code | 62959-1179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598757593 | Neuro Care Medical Group Sc | Chiropractor | 2306 W Main St, Marion, IL 62959-1179 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| 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 |
|---|---|---|---|---|
| 1568001907 | Kolten Pedigo | Chiropractor | 1616 W Main St Ste 503, Marion, IL 62959-1146 | 2020-01-02 |
| 1871139428 | Ted Oslay Dc PC | Chiropractor | 700 N Carbon St Suite B, Marion, IL 62959-1004 | 2019-11-19 |
| 1902387152 | Cory Marone | Chiropractor | 3846 Union St, Marion, NY 14505-9651 | 2018-08-26 |
| 1225534365 | Rachel L Evans | Chiropractor | 340 N Main St Ste 108, Marion, VA 24354-3360 | 2018-04-05 |
| 1437669942 | Marion Chiropractic Center LLC | Chiropractor | 123 S Chestnut St Ste 106, Marion, VA 24354-3150 | 2017-10-10 |
| 1447608757 | Darren Sealey | Chiropractor | 2516 E Highway 76, Suite B, Marion, SC 29571 | 2016-05-26 |
| 1861849689 | Tessa Harlow | Chiropractor | 1135 N Main St, Marion, NC 28752-4581 | 2016-05-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| 1821410606 | Alexander Riniker | Chiropractor | 915 Barrington Pkwy, Ste. A, Marion, IA 52302-9043 | 2014-01-13 |
| 1629318365 | Christopher Scott Wynn | Chiropractor | 107 Morningside Dr Ste 4, Marion, KY 42064 | 2013-02-17 |
| Find all providers in MARION | ||||
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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.