NPIMap

Organization Active NPI

Bruce M Gelch DC PA

Doing business as Pembroke Lakes Chiropractic Center

  • Chiropractor
  • Pembroke Pines, FL
National Provider Identifier
1053331835
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6925 Issued in FL
Legal business name
BRUCE M GELCH DC PA
Doing business as
Pembroke Lakes Chiropractic Center
Practice address
11270 Pines Blvd
Pembroke Pines, FL 33026-4101
Phone
(954) 441-7246
Fax
(954) 441-7241
NPI assigned
Jul 21, 2006
Last updated
Jun 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Bruce M Gelch, DCNPI 1336113786
Title
President
Phone
(954) 441-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6925 FL Primary

Addresses

Primary practice location

11270 Pines Blvd
Pembroke Pines, FL 33026-4101

Mailing address

11270 Pines Blvd
Pembroke Pines, FL 33026-4101
Phone (954) 441-7246

Other names 1

  • PEMBROKE LAKES CHIROPRACTIC CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1053331835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11270 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264101",
            "telephone_number": "954-441-7246",
            "fax_number": "954-441-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11270 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264101",
            "telephone_number": "954-441-7246",
            "fax_number": "954-441-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE M GELCH DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "GELCH",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-441-7246",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEMBROKE LAKES CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.