Provider Demographics
NPI:1316037518
Name:MAHLER, BRAD K (DC)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:K
Last Name:MAHLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10580 N MCCARRAN BLVD
Mailing Address - Street 2:SUITE #113
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-1895
Mailing Address - Country:US
Mailing Address - Phone:775-787-2225
Mailing Address - Fax:775-787-2282
Practice Address - Street 1:10580 N MCCARRAN BLVD
Practice Address - Street 2:SUITE #113
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-1895
Practice Address - Country:US
Practice Address - Phone:775-787-2225
Practice Address - Fax:775-787-2282
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB537111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV34806Medicare ID - Type Unspecified
NVU52537Medicare UPIN