IndividualActive
Bradley Johnson, D.C.
NPI 1962572941 · Chiropractor · D'Iberville, MS
Provider details
- NPI number
- 1962572941
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1104 (MS)
Specialties & taxonomies
Chiropractic Providers
Practice location
10317 C Boney Ave.
D'Iberville, MS 39540-4836
Phone: (228) 392-9106
Fax: (228) 392-4664
Approximate (ZIP-level) locationGet directions
Mailing address
10317 C Boney Ave.
D'Iberville, MS 39540-4836
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2022-10-17
- Certified
- 2022-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.