JENNIE BRADACH
NPI 1649025495
Specialist in San Diego, CA

Active since April 23, 2024
9750 MIRAMAR RD STE 130, SAN DIEGO, CA 92126(858) 305-0878 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennie Bradach NPPES

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

JENNIE BRADACH (NPI 1649025495) is an individual specialist in San Diego, California, licensed in California (9504) and active in the NPI registry since April 2024. She maintains a secondary practice location in Mckinney.

NPPES Registry Identity

NPI1649025495
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJENNIE BRADACH
Location Address9750 MIRAMAR RD STE 130San Diego, CA 92126-4561
Mailing Address6516 Canyon Crest DrMckinney, TX 75071-4694 · (858) 305-0878
Sole ProprietorYes
Enumeration DateApril 23, 2024
NPPES CertifiedApril 23, 2024
NPI 1649025495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · 9504
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9750 MIRAMAR RD STE 130, San Diego, CA 92126

Secondary Practice Location 1

Location 16516 Canyon Crest DrMcKinney, TX 75071-4694 · Phone (858) 305-0878

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
9750 MIRAMAR RD STE 130
SAN DIEGO, CA 92126
Contractor
9750 MIRAMAR RD STE 130
SAN DIEGO, CA 92126
Chiropractor
9750 MIRAMAR RD STE 130
SAN DIEGO, CA 92126
Chiropractor
9750 MIRAMAR RD STE 130
SAN DIEGO, CA 92126

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 Jennie Bradach's NPI number?

The NPI number for Jennie Bradach is 1649025495. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is Jennie Bradach located?

Jennie Bradach practices at 9750 Miramar Rd Ste 130, San Diego, CA 92126. The listed phone number is (858) 305-0878.

What is Jennie Bradach's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jennie Bradach was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.