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NPI Code Detail

MEDICARE: DR. BRADLEY PHILLIP BRITTON D.C.

MEDICARE:  DR. BRADLEY PHILLIP BRITTON  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
1111N00000XChiropractor06564IA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00085560OTHERIARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3U95745OTHERIAUNICARE PFFS
4240794OTHERIAMIDLAND CHOICE PROVIDER #
529542OTHERIASIOUXVALLEY HEALTH PLAN #
634633OTHERIAWELLMARK PROVIDER #
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
878L54BROTHERIACOMPREHENSIVE CARE
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598795643
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADLEY PHILLIP BRITTON D.C.
Provider Business Mailing Address
First Line : PO BOX 77
Second Line :
City : AKRON
State : IA
Zip : 51001-0077
Country : US
Telephone Number : 712-568-2304
Fax Number : 712-568-3792
Provider Business Practice Location Address
First Line : 351 HIGHWAY 12
Second Line :
City : AKRON
State : IA
Zip : 51001
Country : US
Telephone Number : 712-568-2304
Fax Number : 712-568-3792
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 12/17/2007

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Directions to “ DR. BRADLEY PHILLIP BRITTON D.C.” Practice Location

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