Active NPIIndividual provider

Glenn R Bradley, DC

Chiropractor in Elizabeth, New Jersey

NPI Number1538373170
Practice location
909 Elizabeth Ave, Elizabeth, NJ 07201-2710
Fax
908-629-0804
Last updated
July 8, 2007

Glenn Robert Bradley is a Chiropractor based in Elizabeth, NJ. Glenn Robert Bradley practices in Elizabeth, NJ and has the professional credentials of DC. The NPI Number for Glenn Robert Bradley is 1538373170 and holds a License No. 38MC00547600 (NJ). The current practice location address for Glenn Robert Bradley is 909 Elizabeth Ave, Elizabeth, NJ 07201-2710 and can be reached out via phone at 908-629-0779 and via fax at 908-629-0804.

Provider Profile Details

NPI Number
1538373170
Provider Name
Glenn Robert Bradley
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
909 Elizabeth Ave, Elizabeth, NJ 07201-2710
Phone Number
908-629-0779
Fax Number
908-629-0804
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
No
Provider Enumeration Date
May 10, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
909 Elizabeth Ave
Elizabeth, NJ 07201-2710
Zip
07201-2710
Phone Number
908-629-0779
Fax Number
908-629-0804
Elizabeth, NJ 07201Get directions →

Provider Business Mailing Address Details

Address
56 Leigh St
Clinton, NJ 08809-1349
City
Clinton
State
NJ
Zip
08809-1349
Phone Number
908-238-9913
Fax Number
973-484-2920

License Information

License Number
38MC00547600
License State
NJ
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Glenn R Bradley, DC?

The NPI number of Glenn R Bradley, DC is 1538373170. It was assigned on May 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Glenn R Bradley, DC?

Glenn R Bradley, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00547600.

Where does Glenn R Bradley, DC practice?

The practice location is 909 Elizabeth Ave, Elizabeth, NJ 07201-2710. The office can be reached at 908-629-0779 (phone) or 908-629-0804 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538373170 directly on the NPPES registry website.

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