Individual provider Active NPI

Jeffrey M Gorbach, D.C.

  • Chiropractor
  • Comstock Park, MI
National Provider Identifier
1265748131
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009613 Issued in MI
Practice address
6440 Alpine Ave NW
Ste 2
Comstock Park, MI 49321-8003
Phone
(616) 419-3399
NPI assigned
Aug 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009613 MI Primary

Addresses

Primary practice location

6440 Alpine Ave NW
Ste 2
Comstock Park, MI 49321-8003

Mailing address

6440 Alpine Ave NW
Ste 2
Comstock Park, MI 49321-8003
Phone (616) 419-3399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160711000551 MI Practitioner - Chiropractic 9739368903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6440 Alpine Ave NW
Suite 2
Comstock Park, MI 49321-8002
Phone (231) 638-0962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2301009613MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gorbach Family Chiropractic LLC Chiropractor CurrentSince Jul 5, 2016 Accepting new patients
Priority Health Chiropractic SC Chiropractor PastSince Sep 18, 2013 Accepting new patients
Estero Family Chiropractic LLC Chiropractor PastSince Apr 15, 2013 Accepting new patients
Frank Bendiks, DC, PC Chiropractor Past Accepting new patients

Locations

6440 Alpine Ave NW
Ste 2
Comstock Park, MI 49321
Phone (231) 638-0962

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1283040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1265748131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 ALPINE AVE NW",
            "address_2": "STE 2",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493218003",
            "telephone_number": "616-419-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 ALPINE AVE NW",
            "address_2": "STE 2",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493218003",
            "telephone_number": "616-419-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORBACH",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-29",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comstock Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.