BRADLEY D JACKSON (NPI# 1750362885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750362885 |
| Entity Type | Individual |
| Full Name | BRADLEY D JACKSON |
| Credential | DC |
| Practice Address |
1261 S Main St Meadville PA 16335-3034 |
| Practice Telephone | 8143365420 |
| Mailing Telephone | 8143365420 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2013-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC007682 | PA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699217778 | Bradley Kent Jackson | Psychologist | 13123 E 16th Ave # 245, Aurora, CO 80045-7106 | 2016-11-07 |
| 1124206487 | Bradley A Jackson | Radiology | 300 Pasteur Dr, Room H3630, Mc: 5642, Stanford University Med Ctr, Dept. of Int. Radiology, Stanford, CA 94305-5642 | 2008-02-07 |
| 1700285665 | Bradley Jackson | Specialist/Technologist | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 | 2014-08-16 |
| 1467738195 | Bradley Jackson | Case Manager/Care Coordinator | 634 W Main St, Blytheville, AR 72315-3336 | 2011-10-26 |
| 1487940243 | Bradley Stevens Jackson | Emergency Medicine | 3901 Rainbow Blvd, Kansas City, KS 66103-2937 | 2011-06-21 |
| 1578869475 | Bradley Daniel Jackson | Nurse Anesthetist, Certified Registered | 4901 Grande Dr, Pensacola, FL 32504-5935 | 2011-02-10 |
| 1376787705 | Bradley A Jackson | Physical Therapist | 3135 Us Highway 41 W, Marquette, MI 49855-9494 | 2009-04-29 |
| 1285854737 | Bradley C Jackson | Hearing Instrument Specialist | 2969 Highway K, O Fallon, MO 63368-7862 | 2007-04-26 |
| 1265495329 | Bradley S Jackson | Pediatrics | 5386 Cox Smith Rd, Suite A, Mason, OH 45040-9289 | 2006-04-10 |
| Street Address |
1261 S MAIN ST |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-3034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689655706 | Jameson Paul Walker | Chiropractor | 1261 S Main St, Meadville, PA 16335-3034 | 2005-11-07 |
| 1629013024 | Gonstead Family Chiropractic, P.C. | Chiropractor | 1261 S Main St, Meadville, PA 16335-3034 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| 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 |
|---|---|---|---|---|
| 1730701962 | Iadeluca Chiropractic Meadville PC | Chiropractor | 11581 Pennsylvania Ave # 98, Meadville, PA 16335-6247 | 2020-05-11 |
| 1710279476 | Scherer Chiropractic | Chiropractor | 113 Main St E, Meadville, MS 39653-0336 | 2011-05-12 |
| 1689752859 | Robert E George | Chiropractor | 503 Randolph St, Meadville, PA 16335-2237 | 2006-11-02 |
| 1619996212 | Jeffrey Paul Leri | Chiropractor | 843 Market St, Meadville, PA 16335-3348 | 2006-07-18 |
| 1285696773 | Jack K. Vandervort | Chiropractor | 11581 State Hwy 98, Meadville, PA 16335-7321 | 2006-04-03 |
| 1073592143 | Christopher G Knapp | Chiropractor | 15957 Connenut Lake Rd, Ste 2, Meadville, PA 16335-4761 | 2006-01-17 |
| 1902884661 | Jon Mark Ketcham | Chiropractor | 765 Park Ave, Meadville, PA 16335-2546 | 2006-01-04 |
| 1689655706 | Jameson Paul Walker | Chiropractor | 1261 S Main St, Meadville, PA 16335-3034 | 2005-11-07 |
| 1528053709 | David J Rusilko | Chiropractor | 797 Park Ave, Meadville, PA 16335-2563 | 2005-09-14 |
| 1912906587 | Cory H. Altabet | Chiropractor | 18471 Smock Hwy, Space 2, Meadville, PA 16335 | 2005-07-18 |
| Find all providers in MEADVILLE | ||||
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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.