Basic Information
| Provider Information | |||||||||
| NPI: | 1851596027 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FARNEY | ||||||||
| FirstName: | BRAD | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1051 PORT MALABAR BLVD NE STE 2 | ||||||||
| Address2: | |||||||||
| City: | PALM BAY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 329055153 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3219606467 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1421 MALABAR RD NE | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | PALM BAY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 329072576 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3213082660 | ||||||||
| FaxNumber: | 3219849303 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2007 | ||||||||
| LastUpdateDate: | 02/17/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/17/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | CH9390 | FL | Y | Chiropractic Providers | Chiropractor |
No ID Information.