Provider Demographics
NPI:1790236685
Name:MURPHY, BRAEDEN DALE (DC)
Entity Type:Individual
Prefix:DR
First Name:BRAEDEN
Middle Name:DALE
Last Name:MURPHY
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 1:13140 COIT RD
Mailing Address - Street 2:SUITE 514
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-5755
Mailing Address - Country:US
Mailing Address - Phone:972-925-0384
Mailing Address - Fax:972-925-9163
Practice Address - Street 1:710 TOPEKA AVE
Practice Address - Street 2:
Practice Address - City:LYNDON
Practice Address - State:KS
Practice Address - Zip Code:66451-9792
Practice Address - Country:US
Practice Address - Phone:785-241-4220
Practice Address - Fax:972-925-9163
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-17
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13338111N00000X
KS01-06181111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor