Individual provider Active NPI

Bruce Daniel Homsey, D.C.

  • Chiropractor
  • Glendale, AZ
National Provider Identifier
1255430021
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4708 Issued in AZ
Practice address
5654 W Bell Rd
Suite a
Glendale, AZ 85308-3882
Phone
(602) 843-2730
NPI assigned
Sep 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4708 AZ Primary

Addresses

Primary practice location

5654 W Bell Rd
Suite a
Glendale, AZ 85308-3882

Mailing address

5654 W Bell Rd
Suite a
Glendale, AZ 85308-3882
Phone (602) 843-2730

Other identifiers 1

IdentifierTypeStateIssuer
AZ0244500OtherAZBLUE CROSS & BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051208000308 AZ Practitioner - Chiropractic 8628099439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5654 W Bell Rd
Suite a
Glendale, AZ 85308-3882
Phone (602) 843-2730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Chiropractic Life Center, LLC Chiropractor CurrentSince Oct 15, 2017 Accepting new patients

Locations

5654 W Bell Rd
Ste A
Glendale, AZ 85308
Phone (602) 843-2730

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255430021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5654 W BELL RD",
            "address_2": "SUITE A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083882",
            "telephone_number": "602-843-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5654 W BELL RD",
            "address_2": "SUITE A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083882",
            "telephone_number": "602-843-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMSEY",
        "first_name": "BRUCE",
        "middle_name": "DANIEL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "AZ0244500",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.