MEDICARE: DR. BRADLEY W BARTEL JR. DC

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	CH12253	FL

General Provider Information

NPI Number	:	1447773502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRADLEY W BARTEL JR. DC

Provider Business Mailing Address
First Line	:	2125 CRYSTAL GROVE DR
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33801-6875
Country	:	US
Telephone Number	:	863-701-2225
Fax Number	:	863-701-2221

Provider Business Practice Location Address
First Line	:	2125 CRYSTAL GROVE DR
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33801-6875
Country	:	US
Telephone Number	:	863-701-2225
Fax Number	:	863-701-2221

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

Provider Enumeration Date	:	07/20/2017
Last Update Date	:	01/16/2026

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