BRADSHAW CHIROPRACTIC CENTER NPI 1619095767

NPI Information

  • NPI: 1619095767
  • Provider Name: BRADSHAW CHIROPRACTIC CENTER
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 2626 JOHN BEN SHEPPERD PKWY
    SUITE 100A
    ODESSA, TX
    ZIP 79761
  • Phone: (432) 333-2225

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NPI Details

BRADSHAW CHIROPRACTIC CENTER is a chiropractor in Odessa, TX. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BRADSHAW CHIROPRACTIC CENTER NPI is 1619095767. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2626 JOHN BEN SHEPPERD PKWY
SUITE 100A
ODESSA, TX
ZIP 79761-958
Phone: (432) 333-2225
Fax: (432) 333-2226

The provider's authorized official is Wesley Alan Bradshaw .
The authorized official title is Owner and has the following contact phone number (432) 333-2225.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 9/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorDC6046TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1083470701MEDICAIDTEXAS
200K35QMEDICARE PINTEXAS
3U42228MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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