JUSTIN DANIEL BRADISH DC
NPI 1932875945
Chiropractor in San Angelo, TX

Active since August 19, 2021
3950 SUNSET DR, SAN ANGELO, TX 76904(325) 949-1600 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Daniel Bradish Dc NPPES

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

JUSTIN DANIEL BRADISH DC (NPI 1932875945) is an individual chiropractor in San Angelo, Texas, licensed in Texas (14818) and active in the NPI registry since August 2021. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1932875945
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJUSTIN DANIEL BRADISHCredential: DC
Location Address3950 SUNSET DRSan Angelo, TX 76904-5622
Mailing Address3950 Sunset DrSan Angelo, TX 76904-5622
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 19, 2021
NPPES CertifiedAugust 19, 2021
NPI 1932875945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in TX · 14818
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.
3950 SUNSET DR, San Angelo, TX 76904

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Justin Daniel Bradish Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254724719
PECOS Enrollment IDI20220203002620

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
3950 SUNSET DR
SAN ANGELO, TX 76904
Chiropractor
3950 SUNSET DR
SAN ANGELO, TX 76904
Chiropractor
3950 SUNSET DR
SAN ANGELO, TX 76904
Chiropractor
3950 SUNSET DR
SAN ANGELO, TX 76904

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 Justin Bradish's NPI number?

The NPI number for Justin Bradish is 1932875945. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Where is Justin Bradish located?

Justin Bradish practices at 3950 Sunset Dr, San Angelo, TX 76904. The listed phone number is (325) 949-1600.

What is Justin Bradish's specialty?

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

Is Justin Bradish enrolled in Medicare?

Yes. Justin Bradish is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Bradish was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.