Active NPI
Wiliam George Garl, D.C.
- Sports Physician Chiropractor
- Bremen, IN
National Provider Identifier
1063561793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 08000818A
- Practice address
- 204 E Plymouth St
Bremen, IN 46506-1238 - Phone
- (574) 546-4111
- NPI assigned
- Jan 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 08000818A | IN | Primary |
Addresses
Primary practice location
204 E Plymouth St
Bremen, IN 46506-1238
Mailing address
204 E Plymouth St
Bremen, IN 46506-1238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 351928144 | Other | IN | FEDERAL ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08000818A | IN | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063561793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 E PLYMOUTH ST",
"city": "BREMEN",
"state": "IN",
"postal_code": "465061238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E PLYMOUTH ST",
"city": "BREMEN",
"state": "IN",
"postal_code": "465061238",
"telephone_number": "574-546-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARL",
"first_name": "WILIAM",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IN",
"license": "08000818A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL ID NUMBER",
"identifier": "351928144",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bremen, IN
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- Jessica Rae Ebey, NP
- Family Hearing Center, Inc.
- John Keith Frey, M.D.
- Jesse Robert Gettinger, MD
- Paul R. Gettinger, M.D.
- Lensa Gideon Girsha, BSN, MS, APN
- Hearing Diagnostics Center
- Hook-Superx LLC (CVS Pharmacy #06468)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.