Bruce A. Bottcher, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7263 Issued in TX

Practice address

405 S US Highway 281
Suite 101-C
Johnson City, TX 78636-4950

Phone

(830) 868-4280

NPI assigned

Dec 20, 2005

Reactivated

Feb 12, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1326024464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463",
            "city": "JOHNSON CITY",
            "state": "TX",
            "postal_code": "786360463",
            "telephone_number": "830-868-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S US HIGHWAY 281",
            "address_2": "SUITE 101-C",
            "city": "JOHNSON CITY",
            "state": "TX",
            "postal_code": "786364950",
            "telephone_number": "830-868-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTCHER",
        "first_name": "BRUCE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2014-12-16",
        "deactivation_date": "2010-07-02",
        "reactivation_date": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Johnson City, TX
• Providers in Johnson City, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.