Active NPI
Tower Grove Chiropractic and Wellness
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1023311867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2007035560
- Legal business name
- TOWER GROVE CHIROPRACTIC AND WELLNESS
- Practice address
- 4932 Murdoch Ave
Saint Louis, MO 63109-2943 - Phone
- (314) 583-8763
- Fax
- (314) 627-1357
- NPI assigned
- Dec 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Philip Israel Bushman, D.C.
- Title
- Chiropractic Physician
- Phone
- (314) 583-8763
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2007035560 | MO | Primary |
Addresses
Primary practice location
4932 Murdoch Ave
Saint Louis, MO 63109-2943
Mailing address
4932 Murdoch Ave
Saint Louis, MO 63109-2943
Phone (314) 583-8763
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292544000000",
"number": "1023311867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4932 MURDOCH AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631092943",
"telephone_number": "314-583-8763",
"fax_number": "314-627-1357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4932 MURDOCH AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631092943",
"telephone_number": "314-583-8763",
"fax_number": "314-627-1357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWER GROVE CHIROPRACTIC AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-17",
"last_updated": "2010-12-17",
"status": "A",
"authorized_official_last_name": "BUSHMAN",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "ISRAEL",
"authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
"authorized_official_telephone_number": "314-583-8763",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MO",
"license": "2007035560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Mohamad Hassan Toufaily, M.D.
- Daniel C. Touhey, MD
- Bruce Toulmin, LCSW
- Catherine Touney, LCSW
- Vesta Towels, LPC
- Tower Grove Chiropractic LLC
- Tower Grove Counseling Associates
- Tower Village Fund, Inc. (Tower Village Senior Services)
- Tower Village, Inc. (Tower Village Adult Day Center)
- Danielle Towers, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.