Active NPI
Osvaldo Angel Rodriguez, D.C.
- Sports Physician Chiropractor
- Quakertown, PA
National Provider Identifier
1295754976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC007387L
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039213 | Other | PA | BLUE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00589200 | NJ | MD | Sports Physician Chiropractor |
| DC007387L | PA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discover Chiropractic Center, P.C. | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.