Glen Bobker DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH6552 Issued in FL

Legal business name

GLEN BOBKER DC PA

Practice address

1601 East Broward Blvd
Suite B
Fort Lauderdale, FL 33301-2160

Phone

(954) 463-1166

Fax

(954) 522-6836

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Glen Bobker, DC

Title

President

Phone

(954) 463-1166

Specialties & licenses 1

Addresses

Other names 1

• The Downtown Chiropractic Center Doing business as

Locations

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285657643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 EAST BROWARD BLVD",
            "address_2": "SUITE B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012160",
            "telephone_number": "954-463-1166",
            "fax_number": "954-522-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 EAST BROWARD BLVD",
            "address_2": "SUITE B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012160",
            "telephone_number": "954-463-1166",
            "fax_number": "954-522-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN BOBKER DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOBKER",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-463-1166",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Downtown Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Scott Glassman, LMFT, PH.D.
• Carole E Glatter, RN
• Ronald J Glatzer, M.D.
• Sheila Glazer, RD
• Michelle Lynn Gleba
• Glen E Sutherland MD PA
• Glenn R Caddy PHD PA
• Glenn R. Singer, MD, PA
• Richard Stephen Glick, MD
• Global Anesthesia Executive Services LLC

• Chiropractor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.