Organization Active NPI

Bickerton Chiropractic Wellness Center, P.a.

  • Chiropractor
  • New Port Richey, FL
National Provider Identifier
1164565453
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7304 Issued in FL
Legal business name
BICKERTON CHIROPRACTIC WELLNESS CENTER, P.A.
Practice address
4214 Little Rd
New Port Richey, FL 34655-1605
Phone
(727) 376-7339
Fax
(727) 372-2452
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Dr. Brian Ross Bickerton, D.C.NPI 1609973304
Title
Owner
Phone
(727) 376-7339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7304 FL Primary

Addresses

Primary practice location

4214 Little Rd
New Port Richey, FL 34655-1605

Mailing address

4214 Little Rd
New Port Richey, FL 34655-1605
Phone (727) 376-7339

Other identifiers 2

IdentifierTypeStateIssuer
1609973304OtherFLNPI INDIVIDUAL
55923OtherFLBC BS OF FLORIDA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120220000813 FL Part B Supplier - Clinic/Group Practice 8729246954 Receives reassigned benefits from 1 practitioner
Practice locations: New Port Richey, FL

National Provider Directory

National Provider Directory

Locations

4214 Little Rd
New Prt Rchy, FL 34655
Phone (727) 376-7339

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1164565453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551605",
            "telephone_number": "727-376-7339",
            "fax_number": "727-372-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551605",
            "telephone_number": "727-376-7339",
            "fax_number": "727-372-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BICKERTON CHIROPRACTIC WELLNESS CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "BICKERTON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-376-7339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1609973304",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF FLORIDA",
            "identifier": "55923",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.