IndividualActive
Bradford Dewitt, D.C.
NPI 1013151638 · Chiropractor · Gulfport, MS
Provider details
- NPI number
- 1013151638
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1145 (MS)
Specialties & taxonomies
Chiropractic Providers
Practice location
15465 Oak Ln Ste 100b
Gulfport, MS 39503-2663
Phone: (228) 832-0846
Fax: (228) 832-0856
Approximate (ZIP-level) locationGet directions
Mailing address
15465 Oak Ln Ste 100b
Gulfport, MS 39503-2663
Registry dates
- Enumerated
- 2009-04-27
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.