DR. BRADLEY DOUGLAS LIDVALL DC
NPI 1033725866
Chiropractor in Davenport, IA

Active since September 17, 2020Accepts Medicare Assignment
2220 E 53RD ST, DAVENPORT, IA 52807(480) 200-2983 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Bradley Douglas Lidvall Dc NPPES

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

DR. BRADLEY DOUGLAS LIDVALL DC (NPI 1033725866) is an individual chiropractor in Davenport, Iowa, licensed in Iowa (101934) and active in the NPI registry since September 2020. He is a graduate of Life Chiropractic College (2020).

NPPES Registry Identity

NPI1033725866
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRADLEY DOUGLAS LIDVALLCredential: DC
Location Address2220 E 53RD STDavenport, IA 52807-2704
Mailing Address28010 238th StLe Claire, IA 52753-9126 · (480) 200-2983
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2020
Enumeration DateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1033725866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IA · 101934
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.
2220 E 53RD ST, Davenport, IA 52807

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bradley Douglas Lidvall Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072933019
PECOS Enrollment IDI20201013003541

Medicare Billing Reassignments

2

Medicare enrollment records show Bradley Lidvall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chiropractor
2220 E 53RD ST
Davenport, IA 52807
  • Reassigned Medicare billing, Iowa enrollment
  • 4 clinicians in this Medicare group
Chiropractor
228 W 2ND ST
Muscatine, IA 52761
  • Reassigned Medicare billing, Iowa enrollment
  • 3 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
388 services52 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
104 services20 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2220 E 53RD ST
DAVENPORT, IA 52807
Chiropractor
2220 E 53RD ST
DAVENPORT, IA 52807
Chiropractor
2220 E 53RD ST
DAVENPORT, IA 52807
Chiropractor
2220 E 53RD ST
DAVENPORT, IA 52807

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 Lidvall's NPI number?

The NPI number for Bradley Lidvall is 1033725866. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Where is Bradley Lidvall located?

Bradley Lidvall practices at 2220 E 53rd St, Davenport, IA 52807. The listed phone number is (480) 200-2983.

What is Bradley Lidvall's specialty?

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

Is Bradley Lidvall enrolled in Medicare?

Yes. Bradley Lidvall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Bradley Lidvall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Lidvall reassigns Medicare benefits to 2 organizations: Quad City Wellness Group, LLC (Davenport, IA) and Pearl City Chiropractic LLC (Muscatine, IA). Each 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 Bradley Lidvall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bradley Lidvall accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Bradley Lidvall 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 Lidvall was last updated on September 17, 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.