Provider Demographics
NPI:1093013898
Name:PEARSON, BRADY SCHREINER (DC)
Entity Type:Individual
Prefix:DR
First Name:BRADY
Middle Name:SCHREINER
Last Name:PEARSON
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 1:24 S 14TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-4964
Mailing Address - Country:US
Mailing Address - Phone:515-576-2183
Mailing Address - Fax:515-576-2336
Practice Address - Street 1:24 S 14TH ST
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-4964
Practice Address - Country:US
Practice Address - Phone:515-576-2183
Practice Address - Fax:515-576-2336
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007404111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor