HIGH TIDE CHIROPRACTIC PLLC
NPI 1093301319
Chiropractor in Leland, NC
About High Tide Chiropractic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HIGH TIDE CHIROPRACTIC PLLC (NPI 1093301319) is a healthcare organization registered as a chiropractor in Leland, North Carolina and active in the NPI registry since December 2020. The organization lists Joshua Levi Bradburn, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
High Tide Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to High Tide Chiropractic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 High Tide Chiropractic PLLC's NPI number?
The NPI number for High Tide Chiropractic PLLC is 1093301319. It was assigned to this organization in the NPPES registry on December 21, 2020.
Where is High Tide Chiropractic PLLC located?
High Tide Chiropractic PLLC is located at 2155 Britton Rd # 110, Leland, NC 28451. The listed phone number is (910) 408-1747.
What is High Tide Chiropractic PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is High Tide Chiropractic PLLC enrolled in Medicare?
Yes. High Tide Chiropractic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through High Tide Chiropractic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to High Tide Chiropractic PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for High Tide Chiropractic PLLC was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# High Tide Chiropractic Pllc · NPI 1093301319
Chiropractor organization in Leland, North Carolina. Organization record, active in the CMS NPPES registry since December 21, 2020.
## Identity
- **NPI:** 1093301319 (Entity type: Organization)
- **Enumerated:** December 21, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Joshua Bradburn, OWNER
## Practice location
- **Address:** 2155 BRITTON RD # 110, Leland, NC 28451-1929
- **Phone:** (910) 408-1747
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1093301319) · Data from the CMS NPPES public registry.