Bradley Daniel Jackson (NPI# 1750362885, PAC ID# 9436113214) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1750362885 |
| PAC ID by PECOS | 9436113214 |
| Professional Enrollment ID | I20041117000119 |
| Full Name | Bradley Daniel Jackson |
| Organization Legal Name | GONSTEAD FAMILY CHIROPRACTIC, P.C. |
| Address |
1261 S Main St Meadville PA 16335-3034 |
| Phone Number | 8143365420 |
| Gender | M |
| Credential | DC |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2000 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 1052359882 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1261 S Main St, Meadville, PA 16335-3034 | 8143365420 | GONSTEAD FAMILY CHIROPRACTIC, P.C. |
| Organization Legal Name | GONSTEAD FAMILY CHIROPRACTIC, P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jameson P Walker | Chiropractic | Gonstead Family Chiropractic, P.C. | 1261 S Main St, Meadville, PA 16335-3034 |
| Street Address |
1261 S MAIN ST |
| City | MEADVILLE |
| State | PA |
| Zip | 16335-3034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Belonick | Clinical Social Worker | 1261 S Main St, Plantsville, CT 06479-1750 | |
| Jameson P Walker | Chiropractic | Gonstead Family Chiropractic, P.C. | 1261 S Main St, Meadville, PA 16335-3034 |
| Anne M Kenny | Geriatric Medicine | 1261 S Main St, Plantsville, CT 06479-1750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hakeem Sam | Dermatology | Meadville Medical Center | 149 N Main St, Dermatology and Skin Surg Inst, Meadville, PA 16335-1112 |
| Donald Kineston | Dermatology | Meadville Medical Center | 149 N Main St, Dermatology and Skin Surg Inst, Meadville, PA 16335-1112 |
| Tiffany A Replogle | Physician Assistant | Meadville Medical Center | 149 N Main St, Dermatology and Skin Surg Inst, Meadville, PA 16335-1112 |
| Paul F. Oyler | Internal Medicine | 390 Park Ave, Meadville, PA 16335-1243 | |
| Lee Spain | Psychiatry | Meadville Medical Center | 747 Terrace St, Meadville, PA 16335-1737 |
| Elizabeth A Ramsey | Psychiatry | Meadville Medical Center | 747 Terrace St, Meadville, PA 16335-1737 |
| John W Hilson Jr. | Physical Therapy | 764 Bessemer St, Suite 102, Meadville, PA 16335-1862 | |
| Kimberley S Coddington | Psychologist, Clinical | 667 N Main St, Meadville, PA 16335-1907 | |
| Juvia P Heuchert | Clinical Psychologist | 667 N Main St, Meadville, PA 16335-1907 | |
| Kelsey M Snyder | Physician Assistant | Meadville Physician Services | 764 Kennedy St, Suite 101, Meadville, PA 16335-2209 |
| Find all physicians in zip 16335 | |||
| City | MEADVILLE |
| Zip Code | 16335 |
| Specialty | CHIROPRACTIC |
| City + Specialty | MEADVILLE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Bradley Daniel Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.