Bruce A. Weary, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3936 Issued in AZ

Practice address

730 N Montezuma St
Ste B
Prescott, AZ 86301-2039

Phone

(928) 778-2227

Fax

(928) 771-9159

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bruce a Weary DC LTD

  • Chiropractor
  • Prescott, AZ
  • NPI 1619156494

  AZ

  Medicare reassignment
• Active Life Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Prescott, AZ
  • NPI 1316145709
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1295728376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N MONTEZUMA ST",
            "address_2": "STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012039",
            "telephone_number": "928-778-2227",
            "fax_number": "928-771-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N MONTEZUMA ST",
            "address_2": "STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012039",
            "telephone_number": "928-778-2227",
            "fax_number": "928-771-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEARY",
        "first_name": "BRUCE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Barack Wasserman, PH.D.
• Watson Woods Healthcare, Inc.
• Watson Woods Healthcare, Inc.
• Patricia L. Watson, PH.D.
• Wayne a Bennett
• Kristine A Weaver-Miller, PA
• Morgan Weaver, PA-C
• Christine Elaine Webb, MSN APRN FNP-C
• Leah Rae Webb
• Tamara Webb, LMT

• All providers in Prescott, AZ
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.