Gregory Bidlack, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3222 Issued in AZ

Practice address

18775 N Reems Rd
Ste 360
Surprise, AZ 85374-8647

Phone

(623) 544-0200

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Natural Life Centers, LTD.

  • Chiropractor
  • Avondale, AZ
  • NPI 1659413979
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506643200000",
    "number": "1336297993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17617 N 9TH ST",
            "address_2": "#1099",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850221935",
            "telephone_number": "480-217-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18775 N REEMS RD",
            "address_2": "STE 360",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748647",
            "telephone_number": "623-544-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDLACK",
        "first_name": "GREGORY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0944530",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paramveer Bhugra, M.D.
• Barbara Karolina Bialowolska-Romaniuk, M.D.
• Hannah Bella Biancamano
• Shayna Bianco
• Serena Bible
• Big Heart Assisted Living L.L.C.
• Bio-Medical Applications of Arizona, LLC (Fresenius Medical Care Sun City West)
• Biren G. Patel, MD, PC
• Alexis Bischof, CNM
• Kimberly Black, LPN

• Chiropractor in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.