Provider Demographics
NPI:1922036680
Name:FARMER, JAMES BRAD (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BRAD
Last Name:FARMER
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:PO BOX 878
Mailing Address - Street 2:1277 KNOXVILLE HWY
Mailing Address - City:WARTBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37887-0878
Mailing Address - Country:US
Mailing Address - Phone:423-346-5656
Mailing Address - Fax:423-346-5242
Practice Address - Street 1:1277 KNOXVILLE HWY
Practice Address - Street 2:
Practice Address - City:WARTBURG
Practice Address - State:TN
Practice Address - Zip Code:37887-4201
Practice Address - Country:US
Practice Address - Phone:423-346-5656
Practice Address - Fax:423-346-5242
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1174111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3677556Medicaid
TN3677557Medicaid
TN3036653OtherBLUE CROSS
TN0202535OtherBLUE CROSS
TN3677558Medicare ID - Type Unspecified
TN3677557Medicaid
TN3036653OtherBLUE CROSS