Organization Active NPI

Beacon Health Solutions Inc

Doing business as Beacon of Life Chiropractic

  • Chiropractor
  • Royersford, PA
National Provider Identifier
1336530286
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010910 Issued in PA
Legal business name
BEACON HEALTH SOLUTIONS INC
Doing business as
Beacon of Life Chiropractic
Practice address
70 Buckwalter Rd
Suite 412
Royersford, PA 19468-1846
Phone
(810) 637-5064
NPI assigned
Feb 13, 2015
Last updated
Feb 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Bill Berg
Title
Biller
Phone
(810) 637-5064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010910 PA Primary

Addresses

Primary practice location

70 Buckwalter Rd
Suite 412
Royersford, PA 19468-1846

Mailing address

70 Buckwalter Rd
Suite 412
Royersford, PA 19468-1846
Phone (810) 637-5064

Other names 1

  • Beacon of Life Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150414000327 PA Part B Supplier - Clinic/Group Practice 1951629468 Receives reassigned benefits from 5 practitioners
Practice locations: Royersford, PA

National Provider Directory

National Provider Directory

Locations

70 Buckwalter Rd
Ste 412
Royersford, PA 19468
Phone (610) 474-2481

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1336530286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BUCKWALTER RD",
            "address_2": "SUITE 412",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681846",
            "telephone_number": "810-637-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BUCKWALTER RD",
            "address_2": "SUITE 412",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681846",
            "telephone_number": "810-637-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HEALTH SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "810-637-5064"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon of Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royersford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.