Provider Demographics
NPI:1144205980
Name:MCADAM, BRADLEY J I (DC)
Entity Type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:J
Last Name:MCADAM
Suffix:I
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 1:794 US HIGHWAY 202/206N
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807
Mailing Address - Country:US
Mailing Address - Phone:908-218-0800
Mailing Address - Fax:908-218-9299
Practice Address - Street 1:794 US HIGHWAY 202/206N
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807
Practice Address - Country:US
Practice Address - Phone:908-218-0800
Practice Address - Fax:908-218-9299
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00257100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4407708OtherAETNA
NJP413315OtherOXFORD
NJ3663701Medicaid
NJ3663701Medicaid
NJ763303Medicare ID - Type Unspecified