National Provider Identifier Database

MARC BRADLEY, DC – NPI #1861598211
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.


Contact Information

MARC BRADLEY, DC
111 ELM STREET
WEBER CITY, VA24290
Phone: 276-386-7778
Fax: 276-386-7857
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for MARC BRADLEY

NPI Number 1861598211
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 09/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • VA License #: 0104556003
  • TN Medicaid: 4047000
  • VA Other: 7647380 AETNA
  • VA Other: 175344 BLUE CROSS/BLUE SHIELD
  • VA Other: VA0104 JOHN DEERE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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