Active NPI
Phillip Brent Andrus, D.C.
- Chiropractor
- Gettysburg, PA
National Provider Identifier
1295801058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC8605
- Practice address
- 124 Carlisle St
Gettysburg, PA 17325-1835 - Phone
- (717) 337-1190
- Fax
- (717) 337-1759
- NPI assigned
- Nov 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC8605 | PA | Primary |
Addresses
Primary practice location
124 Carlisle St
Gettysburg, PA 17325-1835
Mailing address
79 Curtis Dr
East Berlin, PA 17316-9220
Phone (717) 259-5569
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0758979 | Other | PA | CIGNA |
| 174378 | Other | PA | UNISON |
| 1704124 | Other | PA | BLUE SHIELD |
| 50052222 | Other | PA | CAPITAL BLUE CROSS |
| 7894350 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
775 Old Harrisburg Rd
Gettysburg, PA 17325-3403
Phone (717) 337-1190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC8605 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adams County Chiropractic, PC | Chiropractor | Current | Accepting new patients |
| Casses Chiropractic Clinic PC | Chiropractor | Past | Accepting new patients |
Locations
775 Old Harrisburg Rd
Gettysburg, PA 17325
Phone (717) 337-1190
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.
-
dba Gettysburg Rehabilitation Services, Inc.
- Chiropractor
- Gettysburg, PA
- NPI 1144479320
-
- Chiropractor
- Carlisle, PA
- NPI 1841258845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295801058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 CURTIS DR",
"city": "EAST BERLIN",
"state": "PA",
"postal_code": "173169220",
"telephone_number": "717-259-5569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 CARLISLE ST",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173251835",
"telephone_number": "717-337-1190",
"fax_number": "717-337-1759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRUS",
"first_name": "PHILLIP",
"middle_name": "BRENT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC8605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0758979",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "174378",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1704124",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50052222",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7894350",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gettysburg, 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.