Provider Demographics
NPI:1093874976
Name:CHAMBERS, BRAD WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:WILLIAM
Last Name:CHAMBERS
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 1:4 WINDY CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-3227
Mailing Address - Country:US
Mailing Address - Phone:501-920-8720
Mailing Address - Fax:
Practice Address - Street 1:4 WINDY CT
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227-3227
Practice Address - Country:US
Practice Address - Phone:501-920-8720
Practice Address - Fax:501-296-9597
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1567111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor