BRADLEY I MANDELL (NPI# 1194720458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194720458 |
| Entity Type | Individual |
| Full Name | BRADLEY I MANDELL |
| Credential | D.C. |
| Practice Address |
3629 Suzanne Dr Little River SC 29566-9318 |
| Practice Telephone | 8439570943 |
| Mailing Telephone | 8439570943 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2019-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
3020 | SC | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3017 Mountain Rd, Ste A, Pasadena, MD 211222015 | 4104394466 | 4104394907 |
| Street Address |
3629 SUZANNE DR |
| City | LITTLE RIVER |
| State | SC |
| Zip Code | 29566-9318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
| 1619534112 | Mcleod Loris Seacoast Hospital | Pharmacy | 4000 Hwy 9 East, Outpatient Pharmacy, Little River, SC 29566 | 2019-05-21 |
| 1366960585 | Sasha Hayes | Dentist | 1247 Highway 17 S, Little River, SC 29566 | 2017-09-07 |
| 1639557531 | Mary Lucille Harding | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite, Main Street Physicians, Little River, SC 29566 | 2015-05-12 |
| 1770900771 | Dottie Randall-cox | Registered Nurse | 107 Hwy 57-north, Little River, SC 29566 | 2014-03-27 |
| 1689091688 | Carolyn Howe | Registered Nurse | 107 Highway 57 North, Dhec, Little River, SC 29566 | 2014-03-27 |
| 1376977884 | Southern Surgical Group, LLC | Specialist | 3600 Sea Mountain Hwy Suite A, Little River, SC 29566 | 2013-09-03 |
| 1144570888 | Laura Gore | Pharmacist | 2492 Hwy 9 East, Little River, SC 29566 | 2012-09-10 |
| 1255611406 | Belliams Home Health Services | Home Health | 687c Williamson Rd, Longs, SC 29566 | 2011-08-19 |
| 1083878813 | Lacie E. Edmison | Internal Medicine | 3980 Highway 9 E Ste 320, Little River, SC 29566 | 2008-07-10 |
| Find all providers in zip 29566 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073021143 | Yamira Valentin-fuentes | Chiropractor | 210 Westgate Mall Dr, Suite 6, Spartanburg, SC 29301 | 2018-01-11 |
| 1821414962 | Martin Todd Gough | Chiropractor | 900 Bowman Rd Ste 105, Mount Pleasant, SC 29464-3218 | 2014-03-13 |
| 1275957821 | Alan F Dinehart Jr. | Chiropractor | 30 Robert Smalls Parkway, Beaufort, SC 29906 | 2014-02-18 |
| 1982955936 | Nathan Robert Terry I | Chiropractor | 1028 Edgewater Corporate Pkwy Unit C, Indian Land, SC 29707 | 2012-09-29 |
| 1952466708 | James Todd Boyd | Chiropractor | 3 Southern Ct, Ste. B, West Columbia, SC 29169-3060 | 2006-12-22 |
| 1982762019 | Jeffrey E Lagree | Chiropractor | 4201 Glen Forest Dr, Greenville, SC 29607-6101 | 2006-12-04 |
| 1740203561 | John A Pienkos | Chiropractor | 205 Hwy 17 North, Ste A, North Myrtle Beach, SC 29582-8943 | 2006-07-25 |
| 1992760524 | Marv R Cagle | Chiropractor | 307 Rutherford St, Greenville, SC 29609-5309 | 2006-04-18 |
| 1629627757 | Progressive Chiropractic & Orthopedic | Chiropractor | 7921 Broad River Rd, Irmo, SC 29063-2358 | 2019-09-11 |
| 1578926812 | Total Health Industries Nc, LLC | Chiropractor | 1040 Edgewater Corporate Pkwy, Suite 104, Indian Land, SC 29707-4514 | 2016-04-04 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE RIVER |
| Zip Code | 29566 |
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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.