B.R. Chiropractic Management, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1930 Issued in MA

Legal business name

B.R. CHIROPRACTIC MANAGEMENT, INC

Doing business as

Sofia Chiropractic

Practice address

25 Marston St Ste 205
Lawrence, MA 01841-2357

Phone

(978) 687-7117

Fax

(978) 687-7417

NPI assigned

Dec 18, 2006

Last updated

Jan 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Sofia, DCNPI 1619057627

Title

Owner

Phone

(978) 687-7117

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Sofia Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Sofia, DC

  • Chiropractor
  • Lawrence, MA
  • NPI 1619057627
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1275696767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MARSTON ST STE 205",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412357",
            "telephone_number": "978-687-7117",
            "fax_number": "978-687-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MARSTON ST STE 205",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412357",
            "telephone_number": "978-687-7117",
            "fax_number": "978-687-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.R. CHIROPRACTIC MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "SOFIA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-687-7117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1610562",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS INDIVIDUAL",
            "identifier": "Y36382",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS GROUP",
            "identifier": "Y39388",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sofia Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judit Ayala
• Marien Ayala
• Loukia Aydag, M.S.
• Kristine Aznavoorian, RN
• Megumi Azuma, MA
• Irving N Bachner, MD
• Winifred Baddoo
• Victoria A Badjie
• John J Baer, CRNA
• Ainex Marie Baez, M.D.

• Chiropractor in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.