=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194189159
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR BRADLEY C MORRIS DC PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/06/2016
-----------------------------------------------------
Last Update Date | 04/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20 CASSIDY DR UNIT 103
-----------------------------------------------------
City | BLUFFTON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29910-4151
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-962-6855
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11 WEDGEFIELD DR
-----------------------------------------------------
City | HILTON HEAD
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29926-2242
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-683-2100
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. BRADLEY CRAIG MORRIS
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 843-683-2100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 4092
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------