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DR. SAMANTHA ELIZABETH BRADLEY D.C.
NPI 1639587942
Chiropractor in Belvidere, IL

Active since July 30, 2014Accepts Medicare Assignment
8115 FRUIT FARM RD, BELVIDERE, IL 61008(815) 547-6333(815) 642-5695 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2025, Oct 29, 2019 (2 updates tracked since 2019).

About Dr. Samantha Elizabeth Bradley D.c. NPPES

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

DR. SAMANTHA ELIZABETH BRADLEY D.C. (NPI 1639587942) is an individual chiropractor in Belvidere, Illinois, licensed in Illinois (038012666) and active in the NPI registry since July 2014. She maintains a secondary practice location in Belvidere and is a graduate of Palmer College Chiropractic - Davenport (2014).

NPPES Registry Identity

NPI1639587942
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. SAMANTHA ELIZABETH BRADLEYCredential: D.C.
Location Address8115 FRUIT FARM RDBelvidere, IL 61008-9075
Mailing Address8115 Fruit Farm RdBelvidere, IL 61008-9075 · (815) 547-6333 · Fax (815) 642-5695
Phone(815) 547-6333
Fax(815) 642-5695
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2014
Enumeration DateJuly 30, 2014
Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1639587942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038012666
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.
8115 FRUIT FARM RD, Belvidere, IL 61008
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Other Names 1

Former Name (1)Samantha Elizabeth Raczkowski D.c.

Secondary Practice Location 1

Location 1205 Cadillac Ct, STE 8Belvidere, IL 61008-1733 · Phone (815) 547-6333

Other Identifiers 1

Other5090934IL · Aetna Provider Id

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. Samantha Elizabeth 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 ID7719106533
PECOS Enrollment IDI20140910000024

Medicare Billing Reassignments

2

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

Jones Family Chiropractic P.C.
8.9 mi
Chiropractor
205 E STATE ST
Cherry Valley, IL 61016
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1548446818 (815) 332-5555
Active Care Chiropractic & Rehabilitation, Ltd.
43 mi
Chiropractor
902 W NORTHWEST HWY
Arlington Heights, IL 60004
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
NPI 1053610204 (847) 749-0376

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

Other Providers at the Same Location NPPES

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

GENERATIONS CHIROPRACTIC WELLNESS, LLC
Clinic/Center
8115 FRUIT FARM RD
BELVIDERE, IL 61008
Boone County (815) 547-6333

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 Samantha Bradley's NPI number?

The NPI number for Samantha Bradley is 1639587942. It was assigned to this individual provider in the NPPES registry on July 30, 2014. The provider is also known as Samantha Elizabeth Raczkowski D.C..

Where is Samantha Bradley located?

Samantha Bradley practices at 8115 Fruit Farm Rd, Belvidere, IL 61008. The listed phone number is (815) 547-6333.

What is Samantha Bradley's specialty?

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

Is Samantha Bradley enrolled in Medicare?

Yes. Samantha 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.

Which organizations bill Medicare for Samantha Bradley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Bradley reassigns Medicare benefits to 2 organizations: Jones Family Chiropractic P.C. (Cherry Valley, IL) and Active Care Chiropractic & Rehabilitation, Ltd. (Arlington Heights, IL). 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 Samantha Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Bradley was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.