Active NPI
Bruce Lee Allen, D.C.
- Chiropractor
- Millersburg, PA
National Provider Identifier
1104938760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC004482L
- Practice address
- 600 Union St
Millersburg, PA 17061-1472 - Phone
- (717) 692-5704
- Fax
- (717) 692-7095
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC004482L | PA | Primary |
Addresses
Primary practice location
600 Union St
Millersburg, PA 17061-1472
Mailing address
600 Union St
Millersburg, PA 17061-1472
Phone (717) 692-5704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL1748712 | Other | PA | BLUE SHIELD GROUP |
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 |
|---|---|---|---|
| DC004482L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104938760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 UNION ST",
"city": "MILLERSBURG",
"state": "PA",
"postal_code": "170611472",
"telephone_number": "717-692-5704",
"fax_number": "717-692-7095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 UNION ST",
"city": "MILLERSBURG",
"state": "PA",
"postal_code": "170611472",
"telephone_number": "717-692-5704",
"fax_number": "717-692-7095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "BRUCE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC004482L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP",
"identifier": "AL1748712",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Millersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.