Health360 PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8384 Issued in TX

Legal business name

HEALTH360 PC

Practice address

6270 W Adams Ave
Temple, TX 76502-5526

Phone

(254) 770-1505

Fax

(254) 770-1525

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Bruce T Thompson, D.C.NPI 1215032289

Title

Owner

Phone

(254) 770-1505

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Bruce Todd Thompson, D.C.

  • Chiropractor
  • Temple, TX
  • NPI 1215032289
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1366858482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6270 W ADAMS AVE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025526",
            "telephone_number": "254-770-1505",
            "fax_number": "254-770-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 W ADAMS AVE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025526",
            "telephone_number": "254-770-1505",
            "fax_number": "254-770-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH360 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-770-1505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002092701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellie Yimeng He, MD
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• Tiffany Healey
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• Helen Grace Healy
• Brittney Heard, M.D.
• Hearing Research Insitute, Inc.
• Heart of Texas Community Health Center, Inc.
• Heart of Texas Community Health Center, Inc.

• All providers in Temple, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.