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BRAD GLENN CARROLL D.C.
NPI 1770829814
Chiropractor in Jacksonville, TX

Active since December 18, 2012
2045 S JACKSON ST, JACKSONVILLE, TX 75766(903) 586-3667(903) 586-6404 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brad Glenn Carroll D.c. NPPES

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

BRAD GLENN CARROLL D.C. (NPI 1770829814) is an individual chiropractor in Jacksonville, Texas, licensed in Texas (5324) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1770829814
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameBRAD GLENN CARROLLCredential: D.C.
Location Address2045 S JACKSON STJacksonville, TX 75766-5821
Mailing Address212 Walnut CirJacksonville, TX 75766-0560 · (469) 576-2664 · Fax (903) 586-6404
Phone(903) 586-3667
Fax(903) 586-6404
Sole ProprietorYes
Enumeration DateDecember 18, 2012
✔ NPI 1770829814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 5324
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.
2045 S JACKSON ST, Jacksonville, TX 75766
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Other Providers at the Same Location NPPES

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

DEMENT CHIROPRACTIC & FITNESS CENTER
Chiropractor
2045 S JACKSON ST
JACKSONVILLE, TX 75766
Cherokee County (903) 589-5301

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 Brad Carroll's NPI number?

The NPI number for Brad Carroll is 1770829814. It was assigned to this individual provider in the NPPES registry on December 18, 2012.

Where is Brad Carroll located?

Brad Carroll practices at 2045 S Jackson St, Jacksonville, TX 75766. The listed phone number is (903) 586-3667.

What is Brad Carroll'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 Brad Carroll was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.