Bradley Dean Conrad in Wyoming - Chiropractor
Bradley Dean Conrad - NPI 1174646251
Bradley Dean Conrad is a Chiropractor in Wyoming, Michigan. Bradley Dean Conrad practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bradley Dean Conrad is 1174646251. The last update date is 2010-07-12.
Bradley Dean Conrad's current location address is 3651 Byron Center Ave Sw, Wyoming, Michigan. You can contact this provider via phone number 6165300151 and fax number 6165300205. The mailing address for Bradley Dean Conrad is 3651 Byron Center Ave Sw, Wyoming, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Dean Conrad |
|---|---|
| Address | 3651 Byron Center Ave Sw, Wyoming, Michigan |
| Phone Number | 6165300151 |
| Fax Number | 6165300205 |
| Sole Proprietor | Y |
| Credentials | D.C |
NPI Number Detail
| NPI Number | 1174646251 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2010-07-12 |
Provider Mailing Address Detail
| Address | 3651 Byron Center Ave Sw |
|---|---|
| City | Wyoming |
| State | Michigan (MI) |
| Post Code | 495193665 |
| Phone Number | 6165300151 |
| Fax Number | 6165300205 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301006548 |
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Definition: 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 inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1972685 | MI | -- | |
| 950D150450 | MI | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bradley Dean Conrad by the Centers for Medicare & Medicaid Services?
The Bradley Dean Conrad has been assigned the NPI (National Provider Identifier) 1174646251 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Bradley Dean Conrad?
The Bradley Dean Conrad is physically situated at 3651 Byron Center Ave Sw, in the city of Wyoming, state of MI, with the postal code 495193665.
What is the Bradley Dean Conrad's specialty and taxonomy code?
The Bradley Dean Conrad's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174646251 to Bradley Dean Conrad?
The Centers for Medicare & Medicaid Services assigned the 1174646251 to Bradley Dean Conrad on 2007-04-06.
As of what date was the information pertaining to Bradley Dean Conrad, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bradley Dean Conrad, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-12.