CALVERT CITY CHIROPRACTIC
NPI 1003969460
Chiropractor in Calvert City, KY

Q: What is Bradley A. Tack P.S.C.'s NPI number?

The NPI number for Bradley A. Tack P.S.C. is 1003969460. It was assigned to this organization in the NPPES registry on January 19, 2007. The provider is doing business as Calvert City Chiropractic.

Q: What is Bradley A. Tack P.S.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since January 19, 2007

5131 US HIGHWAY 62, CALVERT CITY, KY 42029(270) 395-4540(270) 395-7715 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Calvert City Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALVERT CITY CHIROPRACTIC (NPI 1003969460) is a healthcare organization registered as a chiropractor in Calvert City, Kentucky and active in the NPI registry since January 2007. The organization lists Bradley A. Tack, Owner, as its authorized official.

NPPES Registry Identity

NPI1003969460

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameBRADLEY A. TACK P.S.C.

Location Address5131 US HIGHWAY 62Calvert City, KY 42029-8390

Mailing Address5131 Us Highway 62Calvert City, KY 42029-8390 · (270) 395-4540 · Fax (270) 395-7715

Phone(270) 395-4540

Fax(270) 395-7715

Organization SubpartNo

Authorized OfficialBradley A. TackOwner · (270) 395-4540

Enumeration DateJanuary 19, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1003969460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

5131 US HIGHWAY 62, Calvert City, KY 42029

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Other Names 1

Doing Business AsCalvert City Chiropractic

Other Identifiers 1

Medicaid85900181KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Calvert City Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Calvert City Chiropractic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Bradley Tack, D.C.

Chiropractic

NPI 1386645737

5131 US HIGHWAY 62
Calvert City, KY 42029

(270) 395-4540

✔ Accepts Medicare0.3 mi

Lisa Tack, D.C.

Chiropractic

NPI 1619978129

5131 US HIGHWAY 62
Calvert City, KY 42029

(270) 395-4540

✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley A. Tack P.S.C.'s NPI number?

The NPI number for Bradley A. Tack P.S.C. is 1003969460. It was assigned to this organization in the NPPES registry on January 19, 2007. The provider is doing business as Calvert City Chiropractic.

Where is Bradley A. Tack P.S.C. located?

Bradley A. Tack P.S.C. is located at 5131 Us Highway 62, Calvert City, KY 42029. The listed phone number is (270) 395-4540.

What is Bradley A. Tack P.S.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Bradley A. Tack P.S.C. enrolled in Medicare?

Yes. Bradley A. Tack P.S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bradley A. Tack P.S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Bradley A. Tack P.S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bradley A. Tack P.S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Bradley A. Tack P.S.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradley A. Tack P.S.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.