Provider Demographics
NPI:1629753678
Name:MIERS, BRADY O (DC)
Entity Type:Individual
Prefix:DR
First Name:BRADY
Middle Name:O
Last Name:MIERS
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 1:3827 SANDY CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:MO
Mailing Address - Zip Code:63050-2724
Mailing Address - Country:US
Mailing Address - Phone:314-941-8679
Mailing Address - Fax:
Practice Address - Street 1:1113 W GANNON DR
Practice Address - Street 2:
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-2602
Practice Address - Country:US
Practice Address - Phone:636-310-3101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022015919111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor