Healthcare Provider Details

I. General information

NPI: 1801060819
Provider Name (Legal Business Name): MATTHEW G FRAHM D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 6TH AVE E
BRADENTON FL
34208-1927
US

IV. Provider business mailing address

407 6TH AVE E
BRADENTON FL
34208-1927
US

V. Phone/Fax

Practice location:
  • Phone: 941-746-2612
  • Fax: 941-746-2789
Mailing address:
  • Phone: 941-746-2612
  • Fax: 941-746-2789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number440712
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH15036
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: