Laser Spine & Disc Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034315 Issued in WA

Legal business name

LASER SPINE & DISC CHIROPRACTIC

Practice address

2211 W Dolarway Rd Ste 4
Ellensburg, WA 98926-8227

Phone

(509) 925-7246

Fax

(509) 933-4104

NPI assigned

Jan 5, 2012

Organization subpart

No

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

Authorized official

Name

David Brandon Bridgeman, D.C., CCEP.NPI 1316044407

Title

Chiropractor

Phone

50992572466

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David B Bridgeman, DC

  • Chiropractor
  • Ellensburg, WA
  • NPI 1316044407
  NPD (past) Authorized official

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1033489166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 W DOLARWAY RD STE 4",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989268227",
            "telephone_number": "509-925-7246",
            "fax_number": "509-933-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 W DOLARWAY RD STE 4",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989268227",
            "telephone_number": "509-925-7246",
            "fax_number": "509-933-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER SPINE & DISC CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "BRIDGEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "50992572466",
        "authorized_official_credential": "D.C., CCEP."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Marie Lambson-Nirk, LMHCA
• Kenneth Duane Larson, R.PH.
• Kerri M Larson, ARNP
• Larry A. Larson, PHARMACIST
• Mark W Larson, M.D.
• Roxanne Marie Laush, NBC-HWC
• Debbie Ann Lavelle, SUDPT CO60889158
• Katherine Lawrence
• Sheryl J Leavitt, LMP
• Lemaire Counseling, PLLC

• Chiropractor in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.