Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679782171 Individual Practitioner Male Practitioner

Dr. Shane Patrick Bradley , DC

Chiropractor • Van Meter, IA

Professional Overview & Biography Verified Profile Summary

Dr. Shane Bradley, DC is a registered healthcare professional specializing in Chiropractor in Van Meter, IA. Practice services are available at 409 WILSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

409 Wilson St

Van Meter, IA 502619728

Telephone 5156507599

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Van Meter, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Van Meter, IA (2109 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-22
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IA 06587

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Wellmark Bcbs
I12015 (IA)

Secondary Practice Locations

1020 Ken Pratt Blvd, Unit G

Longmont, CO 805016375

Phone: 3037728311

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 10, 2018

Registered at 409 WILSON ST, VAN METER, IA 502619728 (Tel: 5156507599)

📍
Updated Business Mailing Address October 10, 2018

Registered at 4461 TAMARA LN, WEST DES MOINES, IA 502656973 (Tel: 5156507599)

NPI Profile Active March 27, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2012

Registered at 1020 KEN PRATT BLVD, UNIT G, LONGMONT, CO 805016375 (Tel: 3037728311)

📍
Updated Business Mailing Address March 27, 2012

Registered at 1546 JUDSON DR, LONGMONT, CO 805012537 (Tel: 5156507599)

👤
Provider Name / Credentials Updated March 27, 2012

Recorded as SHANE BRADLEY, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2012

Chiropractor (License #06587 in IA)

🟢
Initial NPI Registration & Enumeration May 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679782171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2007
Last Update: January 22, 2020
Sole Proprietor: Yes

Mailing Address

4461 Tamara Ln

West Des Moines, IA 502656973

Phone: 5156507599

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.