DR. MICHAEL DOUGLAS BRADLEY D.C.
NPI 1063631075
Chiropractor in Marion, IL

Active since April 25, 2007Accepts Medicare Assignment
2306 W MAIN ST, MARION, IL 62959(618) 997-5959(618) 993-3161 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Douglas Bradley D.c. NPPES

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

DR. MICHAEL DOUGLAS BRADLEY D.C. (NPI 1063631075) is an individual chiropractor in Marion, Illinois, licensed in Illinois (0038005625) and active in the NPI registry since April 2007. He is a graduate of Logan College Of Chiropractic (1985).

NPPES Registry Identity

NPI1063631075
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MICHAEL DOUGLAS BRADLEYCredential: D.C.
Location Address2306 W MAIN STMarion, IL 62959-1179
Mailing Address2306 W Main StMarion, IL 62959-1179 · (618) 997-5959 · Fax (618) 993-3161
Fax(618) 993-3161
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 1985
Enumeration DateApril 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1063631075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 0038005625
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.

2306 W MAIN ST, Marion, IL 62959

Other Identifiers 2

Medicare ID-Type UnspecifiedL62040IL
Medicare UPINT38620IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Douglas Bradley D.c. 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 ID1355482076
PECOS Enrollment IDI20100104000250

Areas of Expertise CMS Part B claims

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, 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.
984 services147 patients

Other Providers at the Same Location NPPES

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

Chiropractor
2306 W MAIN ST
MARION, IL 62959

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 Michael Bradley's NPI number?

The NPI number for Michael Bradley is 1063631075. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Michael Bradley located?

Michael Bradley practices at 2306 W Main St, Marion, IL 62959. The listed phone number is (618) 997-5959.

What is Michael Bradley's specialty?

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

Is Michael Bradley enrolled in Medicare?

Yes. Michael Bradley 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.

When was this NPI record last updated?

The NPPES record for Michael Bradley was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.