Individual provider Active NPI

Jeffrey Alan Bach, D. C.

  • Chiropractor
  • Fredericksburg, VA
National Provider Identifier
1326082553
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001504 Issued in VA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
0104001504VAMDChiropractor

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.

Verify at the official NPI Registry.