BRADLEY MUNDORF (NPI# 1932763646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932763646 |
Entity Type | Individual |
Full Name | BRADLEY MUNDORF |
Credential | DC |
Practice Address |
414 E Front St Statesville NC 28677-5909 |
Practice Telephone | 7048732831 |
Mailing Telephone | 7048732831 |
Enumeration Date | 2019-04-29 |
Last Update Date | 2019-04-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5025 | NC | Chiropractic Providers |
Street Address |
414 E FRONT ST |
City | STATESVILLE |
State | NC |
Zip Code | 28677-5909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346233418 | Steven Samuel Binder | Chiropractor | 414 E Front St, Statesville, NC 28677-5909 | 2005-08-24 |
1306920897 | Binder Chiropractic, P.a. | Chiropractor | 414 E Front St, Statesville, NC 28677-5909 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
Find all providers in zip 28677 |
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 |
---|---|---|---|---|
1770656340 | Michael Druzbik | Chiropractor | 1835 Davie Ave Ste 417, Statesville, NC 28677-3578 | 2006-11-15 |
1437240280 | Mcgrew Chiropractic Clinic Pa | Chiropractor | 2238 South Chipley Ford Road, Statesville, NC 28625-8706 | 2006-09-27 |
1396768610 | Philip Benjamin Mcgrew | Chiropractor | 2238 S Chipley Ford Rd, Statesville, NC 28625-8706 | 2006-07-26 |
1699726679 | Jeffrey E Payne | Chiropractor | 126 S Tradd St, Statesville, NC 28677-5863 | 2006-05-13 |
1093765984 | Payne Chiropractic Center Pa | Chiropractor | 215 W Broad St, Statesville, NC 28677-5259 | 2006-05-11 |
1073561924 | Matthew A Blankenship | Chiropractor | 1953 Wilkesboro Hwy, Statesville, NC 28625-8737 | 2006-05-04 |
1346233418 | Steven Samuel Binder | Chiropractor | 414 E Front St, Statesville, NC 28677-5909 | 2005-08-24 |
1629072350 | Ronald Eugene Adams | Chiropractor | 300 N Oakland Ave, Statesville, NC 28677-3846 | 2005-06-10 |
1598968026 | Druzbik Family Chiropractic, Inc. | Chiropractor | 1835 Davie Ave Ste 417, Statesville, NC 28677-3578 | 2007-06-11 |
1306920897 | Binder Chiropractic, P.a. | Chiropractor | 414 E Front St, Statesville, NC 28677-5909 | 2006-10-24 |
Find all providers in STATESVILLE |
City | STATESVILLE |
Zip Code | 28677 |
Please comment or provide details below to improve the information on BRADLEY MUNDORF.
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.