Dr. Brad M Mundt, D.C.
Chiropractor, Orthopedic in Tacoma, WA. Individual provider (NPI-1).
NPI number1790790236
StatusActive
Last updated in NPPESJul 27, 2015
Details
- NPI
- 1790790236
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brad M Mundt
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2006
- Last updated
- Jul 27, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NX0800X | Chiropractor, Orthopedic | ch00034577 | WA | Yes |
Practice location
7910 Pacific AveTacoma, WA 98408-7031
Phone 253-473-3733
Mailing address
7910 Pacific AveTacoma, WA 98408-7031
Phone 253-473-3733
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