David Scott Bloomberg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

1905 W Jourdan St
Newton, IL 62448-2025

Phone

(618) 783-2424

Fax

(618) 783-8457

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

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

• Jon Luke Bloomberg, DC

  • Chiropractor
  • Columbus, OH
  • NPI 1538659453

  IL

  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bloomberg Chiropractic Center

  • Chiropractor
  • Newton, IL
  • NPI 1134389752
  NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1043318751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W JOURDAN ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624482025",
            "telephone_number": "618-783-2424",
            "fax_number": "618-783-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W JOURDAN ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624482025",
            "telephone_number": "618-783-2424",
            "fax_number": "618-783-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMBERG",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "178-982",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4015001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda K Barthelme, NP-C
• Ashton Beaver
• Ashley Bigard, BS
• Nathan Andrew Blasdel, PHARMD
• Bloomberg Chiropractic Center
• Pamela Sue Briscoe, M.S.
• Alyssa Burnett, DPT
• Debra Darlene Cantrell, MS, CCC-SLP
• Champion Fitness, Inc
• Caitlin Chapman, BA

• All providers in Newton, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.