Provider Demographics
NPI:1700177680
Name:RACHMAN, BRADLEY SCOTT (DC)
Entity Type:Individual
Prefix:
First Name:BRADLEY
Middle Name:SCOTT
Last Name:RACHMAN
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 1:114 MONTREAT RD
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-3116
Mailing Address - Country:US
Mailing Address - Phone:828-333-5123
Mailing Address - Fax:866-571-6360
Practice Address - Street 1:114 MONTREAT RD
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-3116
Practice Address - Country:US
Practice Address - Phone:828-333-5123
Practice Address - Fax:866-571-6360
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4439111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor