Individual provider Active NPI

Bruce Lewandowki, D.C

  • Chiropractor
  • Feasterville Trevose, PA
National Provider Identifier
1073644183
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-005610-L Issued in PA
Practice address
1125 Central Ave
Feasterville Trevose, PA 19053-4508
Phone
(215) 396-7388
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-005610-L PA Primary

Addresses

Primary practice location

1125 Central Ave
Feasterville Trevose, PA 19053-4508

Mailing address

1125 Central Ave
Feasterville Trevose, PA 19053-4508
Phone (215) 396-7388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100223000763 PA Practitioner - Chiropractic 2860536257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1125 Central Ave
Feasterville Trevose, PA 19053-4508
Phone (215) 396-7388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-005610-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lewandowski Family Chiropractic, P.C. Chiropractor CurrentSince Feb 23, 2010 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1073644183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CENTRAL AVE",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534508",
            "telephone_number": "215-396-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CENTRAL AVE",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534508",
            "telephone_number": "215-396-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWANDOWKI",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-005610-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.