Provider Demographics
NPI:1306811641
Name:KERN, BRAD ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:BRAD
Middle Name:ALAN
Last Name:KERN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4342
Mailing Address - Country:US
Mailing Address - Phone:305-466-4357
Mailing Address - Fax:305-466-4358
Practice Address - Street 1:213 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009
Practice Address - Country:US
Practice Address - Phone:305-466-4357
Practice Address - Fax:305-466-4358
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005320111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380272800Medicaid
FL380272800Medicaid
FLT85538Medicare UPIN