Individual provider Active NPI

Osvaldo Angel Rodriguez, D.C.

  • Sports Physician Chiropractor
  • Quakertown, PA
National Provider Identifier
1295754976
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC007387L Issued in PA
Practice address
1307 W Broad St
Quakertown, PA 18951-1107
Phone
(215) 536-4002
Fax
(215) 536-4002
NPI assigned
Jul 19, 2006
Last updated
Oct 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC007387L PA Primary
Sports Physician Chiropractor 111NS0005X 38MC00589200 NJ

Addresses

Primary practice location

1307 W Broad St
Quakertown, PA 18951-1107

Mailing address

1307 W Broad St
Quakertown, PA 18951-1107
Phone (215) 536-4002

Other identifiers 1

IdentifierTypeStateIssuer
039213OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111101000463 PA Practitioner - ChiropracticPractitioner - Sports Medicine 5193998433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
New York Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Discover Chiropractic Center, P.C.Group PAC ID 8325012040, 2 clinicians

Practice addresses (Care Compare)

1307 W Broad St
Quakertown, PA 18951-1107
Phone (215) 536-4002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00589200NJMDSports Physician Chiropractor
DC007387LPAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Discover Chiropractic Center, P.C. CurrentSince Apr 30, 1998 Accepting new patients
Bucks County Emotional Rescue, PC Past Accepting new patients

Locations

1307 W Broad St
Quakertown, PA 18951
Phone (215) 536-4002

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1295754976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W BROAD ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511107",
            "telephone_number": "215-536-4002",
            "fax_number": "215-536-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W BROAD ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511107",
            "telephone_number": "215-536-4002",
            "fax_number": "215-536-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "OSVALDO",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC007387L",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00589200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "039213",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quakertown, PA

Sources for this page

Verify at the official NPI Registry.