Individual provider Active NPI

Phillip Brent Andrus, D.C.

  • Chiropractor
  • Gettysburg, PA
National Provider Identifier
1295801058
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC8605 Issued in PA
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, 2007By the provider in NPPES
Sex
Male
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
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

IdentifierTypeStateIssuer
0758979OtherPACIGNA
174378OtherPAUNISON
1704124OtherPABLUE SHIELD
50052222OtherPACAPITAL BLUE CROSS
7894350OtherPAAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000110 PA Practitioner - Chiropractic 3274576327 Reassigns benefits to 1 organization

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
Adams County Chiropractic, PCGroup PAC ID 7214004779, 2 clinicians

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

LicenseStateTypeSpecialty
DC8605PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Adams County Chiropractic, PC Chiropractor CurrentSince Aug 27, 2008 Accepting new patients
Casses Chiropractic Clinic PC Chiropractor PastSince Jan 1, 2002 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.

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.

Verify at the official NPI Registry.