Active NPI
Bruce Alan Meyer, D.C.
- Chiropractor
- Brooklyn, NY
National Provider Identifier
1144264219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X-2804
- Practice address
- 2483 E 22ND St
Brooklyn, NY 11235-2501 - Phone
- (718) 332-8888
- Fax
- (718) 332-8888
- NPI assigned
- Jun 16, 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 | X-2804 | NY | Primary |
Addresses
Primary practice location
2483 E 22ND St
Brooklyn, NY 11235-2501
Mailing address
2483 E 22ND St
Brooklyn, NY 11235-2501
Phone (718) 332-8888
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 616611 | Other | NY | ACN GROUP |
| 814020 | Other | NY | MANAGED PHYSICAL NETWORK |
| P771084 | Other | NY | OXFORD |
| 000129196001 | Other | NY | UNITED HEALTH CARE |
| 4321324 | Other | NY | AETNA POS |
| 0479327 | Other | NY | AETNA HMO |
| 4321324 | Other | NY | AETNA PPO |
Other names 1
- Bruce Meyer
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 |
|---|---|---|---|
| X-2804 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1144264219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2483 E 22ND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352501",
"telephone_number": "718-332-8888",
"fax_number": "718-332-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2483 E 22ND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352501",
"telephone_number": "718-332-8888",
"fax_number": "718-332-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "BRUCE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X-2804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN GROUP",
"identifier": "616611",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED PHYSICAL NETWORK",
"identifier": "814020",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P771084",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "000129196001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA POS",
"identifier": "4321324",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0479327",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4321324",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRUCE",
"last_name": "MEYER",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.