Provider Demographics
NPI:1821032624
Name:MORRIS, BRADLEY CRAIG (DC)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:CRAIG
Last Name:MORRIS
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WEDGEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2242
Mailing Address - Country:US
Mailing Address - Phone:843-683-2100
Mailing Address - Fax:
Practice Address - Street 1:20 CASSIDY DR UNIT 103
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-4151
Practice Address - Country:US
Practice Address - Phone:843-962-6855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172M00000X
SC4092111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No172M00000XOther Service ProvidersMechanotherapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL06832005OtherBCBS
IL446602OtherHEALTHLINK
IL4367699462056Medicaid
ILK20520Medicare ID - Type Unspecified
IL4367699462056Medicaid