Michael Douglas Bradley, D.C.
Chiropractor · Marion, IL
Practice location
2306 W Main StMarion, IL 62959-1179
- Phone
- (618) 997-5959
- Fax
- (618) 993-3161
NPI record
- NPI
- 1063631075
- Entity type
- Individual (Type 1)
- Enumeration date
- April 25, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
0038005625 | IL |
About Dr. Bradley
Michael Douglas Bradley, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 2306 W Main St, Marion, IL 62959-1179. The NPI number 1063631075 was assigned on April 25, 2007 and the record was last updated on July 8, 2007.
Dr. Bradley lists a license in the registry: #0038005625 (IL) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Michael Douglas Bradley, D.C.?
The NPI number is 1063631075.
What is the phone number of Dr. Bradley?
The phone number listed for the practice location is (618) 997-5959.
Where is Dr. Bradley located?
2306 W Main St, Marion, IL 62959-1179.
What is the taxonomy code for Dr. Bradley?
The primary taxonomy code is 111N00000X – Chiropractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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