BRADSHAW CHIROPRACTIC CENTER (NPI# 1619095767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619095767 |
| Entity Type | Organization |
| Organization Name | BRADSHAW CHIROPRACTIC CENTER |
| Practice Address |
2626 John Ben Shepperd Pkwy Suite 100a Odessa TX 79761-1958 |
| Practice Telephone | 4323332225 |
| Practice Fax Number | 4323332226 |
| Mailing Telephone | 4323332225 |
| Mailing Fax Number | 4323332226 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-09-15 |
| Authorized Official Name | DR. WESLEY ALAN BRADSHAW (OWNER) |
| Authorized Official Telephone | 4323332225 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC6046 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 083470701 | 05 |
| Street Address |
2626 JOHN BEN SHEPPERD PKWY SUITE 100A |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-1958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669584918 | Janet Irene Moore | Nurse Practitioner | 2626 John Ben Shepperd Pkwy, Suite C-129, Odessa, TX 79761-1958 | 2006-08-31 |
| 1235286535 | Ravi Medi | Psychiatry & Neurology | 2626 John Ben Shepperd Pkwy, C-129, Odessa, TX 79761-1958 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| Find all providers in zip 79761 | ||||
| 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 |
|---|---|---|---|---|
| 1174148050 | 100 Percent Chiropractic Ronmartin LLC | Chiropractor | 15989 Preserve Marketplace Blvd, Odessa, FL 33556-5509 | 2020-06-16 |
| 1366741134 | Christopher D Cummins | Chiropractor | 8615 Andrews Hwy, Odessa, TX 79765-2834 | 2011-03-19 |
| 1215234414 | Mason Ryan Steen | Chiropractor | 3110 E. University, Suite B, Odessa, TX 79762 | 2011-02-24 |
| 1356642102 | Ronald Bernard Martin Jr. | Chiropractor | 15993 Preserve Marketplace Blvd, Odessa, FL 33556-5509 | 2010-11-10 |
| 1790914620 | Michele Gene Munoz | Chiropractor | 8050 E Highway 191 Ste 202, Odessa, TX 79765-8615 | 2009-07-13 |
| 1952555211 | Clark Chiropractic Clinic | Chiropractor | 6301 Eastridge Rd, Odessa, TX 79762-5045 | 2008-11-12 |
| 1831375781 | Defrance, Inc. | Chiropractor | 3110 E University Blvd Ste B, Odessa, TX 79762-6955 | 2008-01-10 |
| 1013139153 | The Ftb Group, Inc. | Chiropractor | 421 N 1st St, Suite C, Odessa, MO 64076-5242 | 2007-05-02 |
| 1659406502 | Odessa Chiropractic Association, P.a. | Chiropractor | 1607 E 8th St, Odessa, TX 79761-4806 | 2007-02-22 |
| 1619012366 | Gerald Ray Beaty | Chiropractor | 2100 N Grandview, Odessa, TX 79761 | 2007-02-20 |
| Find all providers in ODESSA | ||||
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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.