| Dr Bradley Mark Shepherd, DC | |
|
205 Boutz Road, Building 4 Suite 2, Las Cruces, NM 88005 | |
| (575) 915-1550 | |
| Not Available |
| Full Name | Dr Bradley Mark Shepherd |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 205 Boutz Road, Las Cruces, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598915241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 14070 (Texas) | Secondary |
| 111N00000X | Chiropractor | 71183171202 (Utah) | Secondary |
| 111N00000X | Chiropractor | 2107 (New Mexico) | Primary |
| Provider Name | Simply Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700404639 PECOS PAC ID: 7618394602 Enrollment ID: O20200908000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley Mark Shepherd, DC 731 Windmill Dr, Las Cruces, NM 88011-8042 Ph: (801) 833-9662 | Dr Bradley Mark Shepherd, DC 205 Boutz Road, Building 4 Suite 2, Las Cruces, NM 88005 Ph: (575) 915-1550 |
Daugherty Chiropractic & Family Wellness Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 648 N Alameda Blvd, Las Cruces, NM 88005 Phone: 575-521-0022 Fax: 575-521-0033 | |
Dr. Charles Irvin Lenz, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1700 E Amador Ave, Suite A, Las Cruces, NM 88001 Phone: 575-652-4092 | |
Oliver Servin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3850 E Lohman Ave Ste 100, Las Cruces, NM 88011 Phone: 575-521-0793 Fax: 575-532-1607 | |
Carson Chiropractic Cener Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1001 N Solano Dr, Ste C, Las Cruces, NM 88001 Phone: 575-523-8604 Fax: 575-523-8604 | |
Dr. Laura Rodriguez, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1705 North Valley Drive, Suite 4, Las Cruces, NM 88007 Phone: 575-527-5083 Fax: 575-527-5093 | |
Hawkins Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 225 E Idaho Ave, Suite 25, Las Cruces, NM 88005 Phone: 575-647-1885 Fax: 575-647-5157 | |
Lane S. Bauer, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1265 S Main St, Las Cruces, NM 88005 Phone: 505-524-4494 Fax: 505-523-2526 |