Provider Demographics
NPI:1639100274
Name:JAMES, BRAD J (DC)
Entity Type:Individual
Prefix:
First Name:BRAD
Middle Name:J
Last Name:JAMES
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:8920 EMERALD PARK DR
Mailing Address - Street 2:STE C
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-2380
Mailing Address - Country:US
Mailing Address - Phone:916-685-2240
Mailing Address - Fax:916-686-2240
Practice Address - Street 1:8920 EMERALD PARK DR
Practice Address - Street 2:STE C
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-2380
Practice Address - Country:US
Practice Address - Phone:916-685-2240
Practice Address - Fax:916-685-5222
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2016-08-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CADC0179950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0179950Medicare PIN