Philip Bryan Lockhart, DC
Individual provider Active NPI Chiropractor · Dubuque, IA
NPI 1346211752 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1346211752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 04225 (IA)
- Practice address
- 1641 Asbury Rd
Dubuque, IA 52001-5729 - Phone
- (563) 556-8464
- Fax
- (563) 556-0879
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1641 Asbury Rd
Dubuque, IA 52001-5729
Phone (563) 556-8464
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041118001070 | IA | Practitioner - Chiropractic | 6002870904 | Practice locations: Dubuque, IA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04225 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Gene Noonan Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 04225 | IA | Yes |
Addresses
Primary practice location
1641 Asbury Rd
Dubuque, IA 52001-5729
Mailing address
1641 Asbury Rd
Dubuque, IA 52001-5729
Phone (563) 556-8464
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0091991 | Medicaid | IA |
NPI Registry JSON
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1346211752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 ASBURY RD",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520015729",
"telephone_number": "563-556-8464",
"fax_number": "563-556-0879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 ASBURY RD",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520015729",
"telephone_number": "563-556-8464",
"fax_number": "563-556-0879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKHART",
"first_name": "PHILIP",
"middle_name": "BRYAN",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "04225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0091991",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.