Organization Active NPI

Semegon Chiropractic Health Center, PA

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1356611818
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0004819 Issued in FL
Legal business name
SEMEGON CHIROPRACTIC HEALTH CENTER, PA
Practice address
7248 Merrill Rd
Jacksonville, FL 32277-3725
Phone
(904) 744-4461
Fax
(904) 744-3259
NPI assigned
Dec 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Dr. Bradley George Semegon, D.C.NPI 1912005190
Title
President
Phone
(904) 744-4461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0004819 FL Primary

Addresses

Primary practice location

7248 Merrill Rd
Jacksonville, FL 32277-3725

Mailing address

7248 Merrill Rd
Jacksonville, FL 32277-3725
Phone (904) 744-4461

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120829000497 FL Part B Supplier - Clinic/Group Practice 3173770914 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

7248 Merrill Rd
Jacksonville, FL 32277
Phone (904) 744-4461

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1356611818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7248 MERRILL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322773725",
            "telephone_number": "904-744-4461",
            "fax_number": "904-744-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7248 MERRILL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322773725",
            "telephone_number": "904-744-4461",
            "fax_number": "904-744-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMEGON CHIROPRACTIC HEALTH CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "SEMEGON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-744-4461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0004819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.