Bruce B Lee, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5573 Issued in AZ

Practice address

2225A E. 7TH Avenue
Flagstaff, AZ 86004-3737

Phone

(928) 774-7165

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cedar Health Center

  • Mobile Radiology Clinic/Center
  • Flagstaff, AZ
  • NPI 1154612232
  NPD (past) Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1104998665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225A EAST 7TH AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043737",
            "telephone_number": "928-774-7165",
            "fax_number": "928-268-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225A E. 7TH AVENUE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043737",
            "telephone_number": "928-774-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRUCE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Malecki Ledington, RN
• John A Ledington, M.D.
• Adrienne Lee
• Audrey Lee
• Briana Lee
• Daniel Hyunjae Lee, MD
• Darlene M Lee, M.D.,P.C.
• Douglas Dean Lee, MD
• John Won Lee, LAC
• Kevin W. Lee

• Chiropractor in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.