Bagnell Chiropractic Life Centre

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC004829L Issued in PA

Legal business name

BAGNELL CHIROPRACTIC LIFE CENTRE

Doing business as

Bagnell Chiropractic Life CTR.

Practice address

301 Corporate Dr E
Langhorne, PA 19047-8009

Phone

(215) 504-2711

NPI assigned

May 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lawrence C Bagnell, D.C.NPI 1679536056

Title

Owner

Phone

(215) 504-2711

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bagnell Chiropractic Life CTR. Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence C. Bagnell

  • Chiropractor
  • Langhorne, PA
  • NPI 1679536056
  Medicare reassignment NPD Authorized official
• Karen G. Bagnell

  • Chiropractor
  • Langhorne, PA
  • NPI 1932162310
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023061082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CORPORATE DR E",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478009",
            "telephone_number": "215-504-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CORPORATE DR E",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478009",
            "telephone_number": "215-504-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAGNELL CHIROPRACTIC LIFE CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAGNELL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-504-2711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004829L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "352509",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bagnell Chiropractic Life CTR.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaclyn Azzara, PA-C
• Rebecca Azzi
• B. Grazyna Dudkowska, M.D.
• April Leigh Bacani, BSW
• Alan Bader, PHD
• Karen G. Bagnell
• Lawrence C. Bagnell
• Baker Family Medical Associates
• Frank William Baker III, CRNA
• Jessica T Baker, DO

• Chiropractor in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.