Healthcare Provider Details

I. General information

NPI: 1982839965
Provider Name (Legal Business Name): BRADLEY THOMAS DIONNE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2009
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4550 E BELL RD STE 152
PHOENIX AZ
85032-9382
US

IV. Provider business mailing address

25055 N 75TH LN
PEORIA AZ
85383-6461
US

V. Phone/Fax

Practice location:
  • Phone: 602-258-9663
  • Fax:
Mailing address:
  • Phone: 602-258-9663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number9314
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: