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DR. SHANE PATRICK BRADLEY DC
NPI 1679782171
Chiropractor in Van Meter, IA

Active since May 21, 2007
409 WILSON ST, VAN METER, IA 50261(515) 650-7599 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2020, Oct 10, 2018 (2 updates tracked since 2018).

About Dr. Shane Patrick Bradley Dc NPPES

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

DR. SHANE PATRICK BRADLEY DC (NPI 1679782171) is an individual chiropractor in Van Meter, Iowa, licensed in Iowa (06587) and active in the NPI registry since May 2007. He maintains a secondary practice location in Longmont.

NPPES Registry Identity

NPI1679782171
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SHANE PATRICK BRADLEYCredential: DC
Location Address409 WILSON STVan Meter, IA 50261-9728
Mailing Address4461 Tamara LnWest Des Moines, IA 50265-6973 · (515) 650-7599
Phone(515) 650-7599
Sole ProprietorYes
Enumeration DateMay 21, 2007
Last NPPES UpdateJanuary 22, 20202 updates tracked since enumeration
✔ NPI 1679782171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IA · 06587
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.
409 WILSON ST, Van Meter, IA 50261
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Secondary Practice Location 1

Location 11020 Ken Pratt Blvd, Unit GLongmont, CO 80501-6375 · Phone (303) 772-8311 · Fax (303) 772-8558

Other Identifiers 1

OtherI12015IA · Wellmark Bcbs

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 Shane Bradley's NPI number?

The NPI number for Shane Bradley is 1679782171. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Shane Bradley located?

Shane Bradley practices at 409 Wilson St, Van Meter, IA 50261. The listed phone number is (515) 650-7599.

What is Shane Bradley'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 Shane Bradley was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.