Organization Active NPI

Sharon Bruce Chiropractic PC

  • Sports Physician Chiropractor
  • Long Beach, CA
National Provider Identifier
1396229068
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
SHARON BRUCE CHIROPRACTIC PC
Practice address
4425 Atlantic Ave Ste A10
Long Beach, CA 90807-2245
Phone
(562) 961-7660
NPI assigned
Sep 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Authorized official

Name
Dr. Sharon Bruce, DCNPI 1659445039
Title
Owner/Chiropractor
Phone
(562) 961-8535

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

4425 Atlantic Ave Ste A10
Long Beach, CA 90807-2245

Mailing address

4425 Atlantic Ave Ste A10
Long Beach, CA 90807-2245
Phone (562) 961-7660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181128000955 CA Part B Supplier - Clinic/Group Practice 1254675515 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

4425 Atlantic Ave
Ste A10
Long Beach, CA 90807
Phone (310) 720-3062

Practitioners & affiliated clinicians

Practitioners 3

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": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1396229068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 ATLANTIC AVE STE A10",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072245",
            "telephone_number": "562-961-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 ATLANTIC AVE STE A10",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072245",
            "telephone_number": "562-961-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON BRUCE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "562-961-8535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.