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KENNEDY CHIROPRACTIC CLINIC INC
NPI 1881943900
Chiropractor in Brandon, MS

Active since September 05, 2012
393 CROSSGATES BLVD, SUITE B, BRANDON, MS 39042(601) 824-4217(601) 824-4218 Get Directions Write a Review

NPPES record last updated: December 31, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kennedy Chiropractic Clinic Inc NPPES

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

KENNEDY CHIROPRACTIC CLINIC INC (NPI 1881943900) is a healthcare organization registered as a chiropractor in Brandon, Mississippi and active in the NPI registry since September 2012. The organization lists Bradley Kennedy, Owner, as its authorized official.

NPPES Registry Identity

NPI1881943900
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKENNEDY CHIROPRACTIC CLINIC INC
Location Address393 CROSSGATES BLVD, SUITE BBrandon, MS 39042
Mailing Address393 Crossgates Blvd, Suite BBrandon, MS 39042 · (601) 824-4217 · Fax (601) 824-4218
Phone(601) 824-4217
Fax(601) 824-4218
Organization SubpartNo
Authorized OfficialBradley KennedyOwner · (601) 824-4217
Enumeration DateSeptember 5, 2012
Last NPPES UpdateDecember 31, 2012
✔ NPI 1881943900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 947
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.
393 CROSSGATES BLVD, Brandon, MS 39042
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINU67878MS

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennedy Chiropractic Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kennedy Chiropractic Clinic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bradley Kennedy, DC
Chiropractic
NPI 1497890420
393 CROSSGATES BOULEVARD SUITE B
Brandon, MS 39042
(601) 824-4217
Same address

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

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 Kennedy Chiropractic Clinic Inc's NPI number?

The NPI number for Kennedy Chiropractic Clinic Inc is 1881943900. It was assigned to this organization in the NPPES registry on September 5, 2012.

Where is Kennedy Chiropractic Clinic Inc located?

Kennedy Chiropractic Clinic Inc is located at 393 Crossgates Blvd Suite B, Brandon, MS 39042. The listed phone number is (601) 824-4217.

What is Kennedy Chiropractic Clinic Inc's specialty?

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

Is Kennedy Chiropractic Clinic Inc enrolled in Medicare?

Yes. Kennedy Chiropractic Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kennedy Chiropractic Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kennedy Chiropractic Clinic Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kennedy Chiropractic Clinic Inc was last updated on December 31, 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.