Bradlee Spine Center, Pc in Alexandria - Chiropractor
Bradlee Spine Center, Pc - NPI 1215159637
Bradlee Spine Center, Pc is a Chiropractor in Alexandria, Virginia. Bradlee Spine Center, Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bradlee Spine Center, Pc is 1215159637. The last update date is 2020-08-22.
Bradlee Spine Center, Pc's current location address is 3541 W. Braddock Road Suite 203, Alexandria, Virginia. You can contact this provider via phone number 7033794055 and fax number 7033791099. The mailing address for Bradlee Spine Center, Pc is 3541 W. Braddock Road Suite 203, Alexandria, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bradlee Spine Center, Pc |
|---|---|
| Address | 3541 W. Braddock Road Suite 203, Alexandria, Virginia |
| Phone Number | 7033794055 |
| Fax Number | 7033791099 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Solomon Keith Richard |
| Credentials | DC |
| Telephone Number | 7033794055 |
NPI Number Detail
| NPI Number | 1215159637 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3541 W. Braddock Road Suite 203 |
|---|---|
| City | Alexandria |
| State | Virginia (VA) |
| Post Code | 220321902 |
| Phone Number | 7033794055 |
| Fax Number | 7033791099 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 104001984 |
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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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What is the unique 10-digit identifier code issued to Bradlee Spine Center, Pc by the Centers for Medicare & Medicaid Services?
The Bradlee Spine Center, Pc has been assigned the NPI (National Provider Identifier) 1215159637 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Bradlee Spine Center, Pc is located?
The Bradlee Spine Center, Pc is situated at the following address: 3541 W. Braddock Road Suite 203, Alexandria, VA, 220321902.
What is Bradlee Spine Center, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bradlee Spine Center, Pc is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1215159637 to Bradlee Spine Center, Pc?
The Bradlee Spine Center, Pc received its 1215159637 assignment from the Centers for Medicare & Medicaid Services on 2007-05-03.
As of what date were the Bradlee Spine Center, Pc's details last updated?
The information pertaining to the Bradlee Spine Center, Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.