Provider Demographics
NPI:1003326588
Name:PARTRIDGE, BRAD (DC)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:
Last Name:PARTRIDGE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1742 W HORIZON RIDGE PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-4915
Mailing Address - Country:US
Mailing Address - Phone:725-735-6910
Mailing Address - Fax:725-735-6914
Practice Address - Street 1:1742 W HORIZON RIDGE PKWY STE 110
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-4915
Practice Address - Country:US
Practice Address - Phone:725-735-6910
Practice Address - Fax:725-735-6910
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038013153111N00000X
NVB01783111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor