580 SPORTS MEDICINE
NPI 1659621811
Chiropractor in Ada, OK

Q: What is Bradley A Heimer, LLC's NPI number?

The NPI number for Bradley A Heimer, LLC is 1659621811. It was assigned to this organization in the NPPES registry on September 14, 2012. The provider is doing business as 580 Sports Medicine.

Q: What is Bradley A Heimer, LLC's specialty?

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

Active since September 14, 2012

1201 ARLINGTON ST STE A, ADA, OK 74820(580) 436-7173(580) 436-7176 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About 580 Sports Medicine NPPES

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

580 SPORTS MEDICINE (NPI 1659621811) is a healthcare organization registered as a chiropractor in Ada, Oklahoma and active in the NPI registry since September 2012. The organization lists Betti R Estep, Credentialing/billing Mgr, as its authorized official.

NPPES Registry Identity

NPI1659621811

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameBRADLEY A HEIMER, LLC

Location Address1201 ARLINGTON ST STE AAda, OK 74820-4072

Mailing AddressPo Box 269031Oklahoma City, OK 73126-9031 · (405) 521-1969 · Fax (405) 521-1979

Phone(580) 436-7173

Fax(580) 436-7176

Organization SubpartNo

Authorized OfficialBetti R EstepCredentialing/billing Mgr · (405) 521-1969

Enumeration DateSeptember 14, 2012

Last NPPES UpdateDecember 13, 2016

✔ NPI 1659621811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OK · 4081

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.

1201 ARLINGTON ST STE A, Ada, OK 74820

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Other Names 1

Doing Business As580 Sports Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. BRADLEY A HEIMER D.C.

Chiropractor

1201 ARLINGTON ST STE A
ADA, OK 74820

Pontotoc County (580) 436-7173

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 A Heimer, LLC's NPI number?

The NPI number for Bradley A Heimer, LLC is 1659621811. It was assigned to this organization in the NPPES registry on September 14, 2012. The provider is doing business as 580 Sports Medicine.

Where is Bradley A Heimer, LLC located?

Bradley A Heimer, LLC is located at 1201 Arlington St Ste A, Ada, OK 74820. The listed phone number is (580) 436-7173.

What is Bradley A Heimer, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Bradley A Heimer, LLC was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.