Active NPI
Bronson Chiropractic Clinic P.C.
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1063771368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3217
- Legal business name
- BRONSON CHIROPRACTIC CLINIC P.C.
- Practice address
- 18631 N 19TH Ave
Suite 152
Phoenix, AZ 85027-5299 - Phone
- (602) 789-1078
- Fax
- (623) 582-0997
- NPI assigned
- May 8, 2012
- 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. Richard Frederick Bronson, D.C.
- Title
- Owner
- Phone
- (602) 789-1078
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3217 | AZ | Primary |
Addresses
Primary practice location
18631 N 19TH Ave
Suite 152
Phoenix, AZ 85027-5299
Mailing address
18631 N 19TH Ave
Suite 152
Phoenix, AZ 85027-5299
Phone (602) 789-1078
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 525834 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
18631 N 19th Ave
Ste 152
Phoenix, AZ 85027
Phone (602) 789-1078
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Phoenix, AZ
- NPI 1043385479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336435200000",
"number": "1063771368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18631 N 19TH AVE",
"address_2": "SUITE 152",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850275299",
"telephone_number": "602-789-1078",
"fax_number": "623-582-0997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18631 N 19TH AVE",
"address_2": "SUITE 152",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850275299",
"telephone_number": "602-789-1078",
"fax_number": "623-582-0997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRONSON CHIROPRACTIC CLINIC P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-08",
"last_updated": "2012-05-08",
"status": "A",
"authorized_official_last_name": "BRONSON",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "FREDERICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-789-1078",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AZ",
"license": "3217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "525834",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.