Active NPI
Jeffrey Alan Bach, D. C.
- Chiropractor
- Fredericksburg, VA
National Provider Identifier
1326082553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001504
- Practice address
- 2501 Fall Hill Ave
Ste B
Fredericksburg, VA 22401-3345 - Phone
- (540) 374-0998
- Fax
- (540) 371-0378
- NPI assigned
- Jun 16, 2006
- Last updated
- Dec 13, 2023
- 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 | 0104001504 | VA | Primary |
Addresses
Primary practice location
2501 Fall Hill Ave
Ste B
Fredericksburg, VA 22401-3345
Mailing address
2501 Fall Hill Ave
Fredericksburg, VA 22401-3345
Phone (540) 374-0998
Other practice location 1
603 Emancipation Hwy Ste 101
Fredericksburg, VA 22401-4565
Phone (540) 374-0998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121025000354 | VA | Practitioner - Chiropractic | 5597915637 | Practice locations: Fredericksburg, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2501 Fall Hill Ave
Suite B
Fredericksburg, VA 22401-3345
Phone (540) 374-0998
2501 Fall Hill Ave B
Fredericksburg, VA 22401-3345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104001504 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1326082553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 FALL HILL AVE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013345",
"telephone_number": "540-374-0998",
"fax_number": "540-371-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 FALL HILL AVE",
"address_2": "STE B",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013345",
"telephone_number": "540-374-0998",
"fax_number": "540-371-0378"
}
],
"practiceLocations": [
{
"address_1": "603 Emancipation Hwy Ste 101",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224014565",
"country_code": "US",
"telephone_number": "540-374-0998",
"fax_number": "540-371-0378",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BACH",
"first_name": "JEFFREY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D. C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.