MR. SHAWN BRADLEY (D.C.) – Chiropractor, NPI 1871605808

MR. SHAWN BRADLEY (D.C.) is a healthcare provider. based in Arnold, Missouri. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 2004018211 (MO). The NPI Number for MR. SHAWN BRADLEY (D.C.) is 1871605808

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. SHAWN BRADLEY (D.C.)
NPI
1871605808
Phone
(636) 296-1222
Address
1761 JEFFCO BLVD
Enumeration Date
31 August 2006
Last Update Date
14 October 2008

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
6362961222
Graduation Year
2004 (22 years ago)
PAC ID
6002865235
Group Practice PAC ID
1759330988
Professional Enrollment ID
I20050122000126
Address ID
MO630102713AR1761XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,129 CHIROPRACTIC in MO

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Provider Addresses for MR. SHAWN BRADLEY (D.C.)

  • 1761, Jeffco Boulevard, Arnold, Jefferson County, Missouri, 63010, United States

    ARNOLD, MO 630102713

    Phone: (636) 296-1222

    Fax: (636) 296-1226

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050122000126IChiropracticMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions9712$0
View full utilization report →

Insurance plans in this area (ZIP 63010)

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Provider's Procedures

MR. SHAWN BRADLEY (D.C.) performs procedures in CHIROPRACTIC. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICMO98940Chiropractic manipulative treatment, 1-2 spinal regions8817

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759330988View full group profile
NameSpecialtyState
C H I R O P R A C T I CMO
C H I R O P R A C T I CMO
C H I R O P R A C T I CIL

Reviews

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Frequently asked questions

What is MR. SHAWN BRADLEY (D.C.)'s NPI number?
MR. SHAWN BRADLEY (D.C.)'s NPI is 1871605808 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MR. SHAWN BRADLEY (D.C.)?
For scheduling context, MR. SHAWN BRADLEY (D.C.) is shown as active in the registry.
What area of care is associated with MR. SHAWN BRADLEY (D.C.)?
MR. SHAWN BRADLEY (D.C.)'s record emphasizes Chiropractor. Clinical services aligned with this taxonomy classification.
Where in Missouri is MR. SHAWN BRADLEY (D.C.) registered?
Use Arnold, Missouri as the headline location for MR. SHAWN BRADLEY (D.C.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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