David Lee Corley Sr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

252-02-0001958 Issued in WA

Practice address

603 Chester Ave
Bremerton, WA 98337-1266

Phone

(360) 377-0012

Fax

(360) 405-0938

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346374311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 CHESTER AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371266",
            "telephone_number": "360-377-0012",
            "fax_number": "360-405-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 CHESTER AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371266",
            "telephone_number": "360-377-0012",
            "fax_number": "360-405-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "252-02-0001958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thelma Corbin, PTA
• Cory Miguel Cordero, MA
• Anissa Cordova, LMP
• Mickenzy Christine Cordova
• David Corley, MD
• Madison Corn
• Paul Matthew Cornett, PH.D, RN
• Brayden Cornish
• Lorena Corona Reyes
• Michael John Corpolongo, PH.D.

• Chiropractor in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.