Individual provider · Type 1 NPI
Bradley Jay Johnson, DC
Chiropractor · D'iberville, MS
NPI number
1962572941
Active
Practice location
10317 C Boney Ave.
D'iberville, MS 39540-4836
Fax (228) 392-4664
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1104 (MS) |
Chiropractor: 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.
Another provider at this address
About NPI 1962572941
Bradley Jay Johnson, DC's National Provider Identifier is 1962572941, issued on Nov 8, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in D'iberville, MS. The record was last updated on Oct 17, 2022.