Active NPI
Patrick Bruce Collins, DC
- Chiropractor
- Fairbanks, AK
National Provider Identifier
1396868204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 483
- Practice address
- 104 Kutter Rd
Fairbanks, AK 99701-3169 - Phone
- (907) 452-3600
- Fax
- (907) 452-3695
- NPI assigned
- Apr 6, 2007
- Last updated
- Jul 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2005009949 | MO | |
| Chiropractor | 111N00000X | 483 | AK | Primary |
Addresses
Primary practice location
104 Kutter Rd
Fairbanks, AK 99701-3169
Mailing address
784 Chena Hills Dr
Fairbanks, AK 99709-5710
Phone (417) 389-1290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 483 | AK | MD | Clinical Social Worker |
| 2005009949 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Health Alaska | Past | Accepting new patients | |
| White Spruce Medical Inc | Chiropractor | Past | Accepting new patients |
| Better Health Pain & Wellness Center LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1043955917
-
- Chiropractor
- Anchorage, AK
- NPI 1952569428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1396868204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 CHENA HILLS DR",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997095710",
"telephone_number": "417-389-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 KUTTER RD",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997013169",
"telephone_number": "907-452-3600",
"fax_number": "907-452-3695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "PATRICK",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2005009949",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.