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Contact Information

BRADLEY CHIROPRACTIC CLINIC PA
1324 E GARRISON BLVD
GASTONIA, NC28054
 Phone: 704-861-1886
 Fax: 704-861-1578
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BRADLEY CHIROPRACTIC CLINIC PA

NPI Number 1508878240
LBN Legal business name BRADLEY CHIROPRACTIC CLINIC PA
Authorized official TERRY BRADLEY - (PRESIDENT OF CORPORATION)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2006
Last updated 11/26/2007 - About 19 years ago
Identifiers
NC License # 1229
NC License # 1961
NC Medicaid 7908278
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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