Individual provider Active NPI

Nicholas Anthony Bufanio, D.C.

  • Sports Physician Chiropractor
  • Bethlehem, PA
National Provider Identifier
1336195825
Registry record updated Apr 24, 2018
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Feb 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC006741-L Issued in PA
Practice address
4063 Nazareth Pike Ste B
Bethlehem, PA 18020-9459
Phone
(610) 746-4332
Fax
(610) 746-4328
NPI assigned
May 26, 2006
Last updated
Apr 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC006741-L PA Primary

Addresses

Primary practice location

4063 Nazareth Pike Ste B
Bethlehem, PA 18020-9459

Mailing address

4063 Nazareth Pike Ste B
Bethlehem, PA 18020-9459
Phone (610) 746-4332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DC006741-LPAMDSports Physician Chiropractor

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1336195825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4063 NAZARETH PIKE STE B",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209459",
            "telephone_number": "610-746-4332",
            "fax_number": "610-746-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 NAZARETH PIKE STE B",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209459",
            "telephone_number": "610-746-4332",
            "fax_number": "610-746-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFANIO",
        "first_name": "NICHOLAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC006741-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.