MEDICARE: DR. BRADLEY THOMAS DIONNE D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	9314	AZ

General Provider Information

NPI Number	:	1982839965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRADLEY THOMAS DIONNE D.C.

Provider Business Mailing Address
First Line	:	25055 N 75TH LN
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85383-6461
Country	:	US
Telephone Number	:	602-258-9663
Fax Number	:

Provider Business Practice Location Address
First Line	:	4550 E BELL RD STE 152
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-9382
Country	:	US
Telephone Number	:	602-258-9663
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2009
Last Update Date	:	11/12/2025

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