Individual provider Active NPI

Bonnie Lee Becker, D.C.

  • Nutrition Chiropractor
  • Telford, PA
National Provider Identifier
1285665083
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
DC-002773L Issued in PA
Practice address
3 Ridge Rd
Telford, PA 18969-1327
Phone
(215) 258-5633
Fax
(215) 258-5634
NPI assigned
Jul 6, 2006
Sex
Female
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
Nutrition Chiropractor 111NN1001X DC-002773L PA Primary

Addresses

Primary practice location

3 Ridge Rd
Telford, PA 18969-1327

Mailing address

1995 Upper Rocky Dale Rd
Green Lane, PA 18054-2541
Phone (215) 257-1092

Other identifiers 1

IdentifierTypeStateIssuer
0048435000OtherPA10-DIGIT HMO ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120524000049 PA Practitioner - Chiropractic 5890958169 Practice locations: Telford, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20 Ridge Rd
Unit 3
Telford, PA 18969-1396
Phone (215) 258-5633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-002773LPAMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bonnie L Becker DC PastSince Jun 8, 1984 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285665083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 UPPER ROCKY DALE RD",
            "city": "GREEN LANE",
            "state": "PA",
            "postal_code": "180542541",
            "telephone_number": "215-257-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RIDGE RD",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189691327",
            "telephone_number": "215-258-5633",
            "fax_number": "215-258-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "BONNIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "PA",
            "license": "DC-002773L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "10-DIGIT HMO ID",
            "identifier": "0048435000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Telford, PA

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.