| Dewitt Chiropractic, Pllc | |
|
15465 Oak Ln, Suite 100b, Gulfport, MS 39503-2663 | |
| (228) 832-0846 | |
| (228) 832-0856 |
| Full Name | Dewitt Chiropractic, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 15465 Oak Ln, Gulfport, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285958868 | NPI | - | NPPES |
| 93014524 | Other | MS | UNITED HEALTH CARE |
| 953596 | Medicaid | MS | |
| 302I354509 | Other | MS | MEDICARE |
| 9194329 | Other | MS | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1145 (Mississippi) | Primary |
| Provider Name | Bradford J Dewitt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013151638 PECOS PAC ID: 1254485592 Enrollment ID: I20090820000391 |
| Mailing Address | Practice Location Address |
|---|---|
| Dewitt Chiropractic, Pllc 15465 Oak Ln, Suite 100b, Gulfport, MS 39503-2663 Ph: (228) 832-0846 | Dewitt Chiropractic, Pllc 15465 Oak Ln, Suite 100b, Gulfport, MS 39503-2663 Ph: (228) 832-0846 |
Dr. Bradford Joseph Dewitt, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 15465 Oak Ln Ste 100b, Gulfport, MS 39503 Phone: 228-832-0846 Fax: 228-832-0856 | |
Chiropractic Life Center Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1900 Pass Rd, Ste D, Gulfport, MS 39501 Phone: 228-864-6159 Fax: 228-864-3186 | |
Mr. Gregory Kevin Picou, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 9344 Three Rivers Rd, Gulfport, MS 39503 Phone: 228-865-9898 Fax: 228-863-5616 | |
Dr. Brandon Hardin, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 370 Courthouse Rd, 101, Gulfport, MS 39507 Phone: 228-241-1000 | |
William Bankester, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8950 Lorraine Rd Ste C, Gulfport, MS 39503 Phone: 228-896-5343 | |
Dr. Mark Read Shuttleworth, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 665 East Pass Rd Ste 3, Gulfport, MS 39507 Phone: 228-896-3002 | |
Dr. Katanya D Ford, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1243 28th St Ste A, Gulfport, MS 39501 Phone: 228-357-5585 Fax: 228-357-5655 |