Individual provider Active NPI

Bruce Lee Jr., DC

  • Chiropractor
  • Lakewood Ranch, FL
National Provider Identifier
1306582366
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13682 Issued in FL
Practice address
4331 Solutions LN
Lakewood Ranch, FL 34211
Phone
(941) 279-3500
NPI assigned
May 11, 2022
Last updated
May 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13682 FL Primary

Addresses

Primary practice location

4331 Solutions LN
Lakewood Ranch, FL 34211

Mailing address

5319 25TH St W
Bradenton, FL 34207-3010
Phone (941) 279-3500

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL chirotouch.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220819000037 FL Practitioner - Chiropractic 5395128680 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adjust Your Life Chiropractic, LLC Chiropractor CurrentSince Jun 28, 2024 Accepting new patients
Premier Hand Therapy LLC PastSince May 16, 2022 Accepting new patients
Adjust Your Life Chiropractic Sarasota LLC Chiropractor PastSince Oct 9, 2022 Accepting new patients

Locations

10910 State Road 70 E
Ste 101
Lakewood Ranch, FL 34202
Phone (941) 749-7207

Organizations & group practices 3

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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1306582366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 25TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342073010",
            "telephone_number": "941-279-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 SOLUTIONS LN",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "34211",
            "telephone_number": "941-279-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chirotouch.com",
            "affiliation": "N",
            "endpointDescription": "Electronic health record URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4331 Solutions Ln",
            "city": "Lakewood Ranch",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.