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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRADLEY JAY JOHNSON, D.C.

Active Sole Proprietor

DR. BRADLEY JAY JOHNSON, D.C. is a Chiropractor healthcare provider located in D'IBERVILLE, Mississippi. NPI 1962572941 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · D'IBERVILLE, MS

Registration Details

NPI Number
1962572941
Provider Type
Individual
Gender
Male
NPI Issued
Nov 8, 2006 (19.621342785238 yrs)
Last Updated
Oct 17, 2022
License
1104 (MS)
Sole Proprietor
Yes

Practice Information

Address
10317 C BONEY AVE.
D'IBERVILLE, MS, 395404836
Browse MS providers · Browse ZIP 39540
Phone
2283929106
Fax
2283924664
Primary Specialty
Chiropractor
111N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.