Bryn Alexa Gillow, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007914L Issued in PA

Practice address

HC 1 Box 10
Brodheadsville, PA 18322-9660

Phone

(570) 992-2929

Fax

(570) 992-3221

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Life Is Good Chiropractic

  • Chiropractor
  • Brodheadsville, PA
  • NPI 1184779621
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306927306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC1 BOX 10",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183229660",
            "telephone_number": "570-992-2929",
            "fax_number": "570-992-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 10",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183229660",
            "telephone_number": "570-992-2929",
            "fax_number": "570-992-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLOW",
        "first_name": "BRYN",
        "middle_name": "ALEXA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007914L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "1783617",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEP PERSONAL CHOICE",
            "identifier": "2622014000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "819689",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9701133",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Gary Romascavage DO
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• Caitlin Gaffney, CRNP
• Samantha Gambler, PA-C
• Dena Glazer, LMSW
• Goodwill Healthcare Inc
• Maureen Gower
• Dana Marie Griesback, M.S., CCC-SLP
• Sheali Hannigan

• Chiropractor in Brodheadsville, PA
• Providers in Brodheadsville, PA by specialty
• Chiropractor in Pennsylvania

• 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.