BRADDOCK CHIROPRACTIC & FAMILY WELLNESS – Chiropractor, NPI 1114193638

BRADDOCK CHIROPRACTIC & FAMILY WELLNESS is a healthcare provider. based in Van alstyne, Texas. specializing in Chiropractor. The organization holds a License No. 10170 (TX). The NPI Number for BRADDOCK CHIROPRACTIC & FAMILY WELLNESS is 1114193638

Main info

Organization
Name
BRADDOCK CHIROPRACTIC & FAMILY WELLNESS
NPI
1114193638
Phone
(903) 482-1234
Address
PO BOX 1782
Authorized Official
CALEB BRADDOCK OWNER DC
Enumeration Date
5 May 2008
Last Update Date
23 September 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for BRADDOCK CHIROPRACTIC & FAMILY WELLNESS

  • PO BOX 1782

    VAN ALSTYNE, TX 754951782

    Phone: (903) 482-1234

    Type: Mailing

  • Northwest Main Street, Van Alstyne, Grayson County, Texas, 75495, United States

    VAN ALSTYNE, TX 754951782

    Phone: (903) 482-1232

    Type: Location

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: 2008-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (922 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
O20080826000809OClinic/Group PracticeTX2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75495)

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Reviews

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Frequently asked questions

How do I look up BRADDOCK CHIROPRACTIC & FAMILY WELLNESS by NPI?
Use NPI 1114193638 when you need to reference BRADDOCK CHIROPRACTIC & FAMILY WELLNESS in forms, claims, or directories.
Is BRADDOCK CHIROPRACTIC & FAMILY WELLNESS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does BRADDOCK CHIROPRACTIC & FAMILY WELLNESS list a primary specialty?
If you are matching referrals, note Chiropractor for BRADDOCK CHIROPRACTIC & FAMILY WELLNESS. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRADDOCK CHIROPRACTIC & FAMILY WELLNESS?
The page summarizes Van Alstyne, Texas for BRADDOCK CHIROPRACTIC & FAMILY WELLNESS; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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