Individual provider Active NPI

Travis Brent McDonald, D.C.

  • Chiropractor
  • Lewisburg, PA
National Provider Identifier
1326457656
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010916 Issued in PA
Practice address
1205 W Market St
Lewisburg, PA 17837-1371
Phone
(570) 523-1221
Fax
(570) 523-9246
NPI assigned
Aug 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010916 PA Primary

Addresses

Primary practice location

1205 W Market St
Lewisburg, PA 17837-1371

Mailing address

901 Benner Pike
State College, PA 16801-7317
Phone (814) 237-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141021002646 PA Practitioner - Chiropractic 3375764046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Chiropractic and Wellness LLCGroup PAC ID 4981938347, 2 clinicians

Practice addresses (Care Compare)

901 Benner Pike
State College, PA 16801-7317
Phone (814) 237-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Chiropractic and Wellness LLC Chiropractor CurrentSince Aug 20, 2023 Accepting new patients
Summit Chiropractic Clinic Chiropractor CurrentSince Aug 20, 2023 Accepting new patients
Advanced Care Chiropractic LLC Chiropractor CurrentSince Aug 19, 2014 Accepting new patients

Locations

2009 W Market St
Lewisburg, PA 17837
Phone (570) 523-1221

901 Benner Pike
State College, PA 16801
Phone (814) 237-2225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1326457656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BENNER PIKE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017317",
            "telephone_number": "814-237-2225",
            "fax_number": "814-237-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W MARKET ST",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178371371",
            "telephone_number": "570-523-1221",
            "fax_number": "570-523-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "TRAVIS",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.