Individual provider Active NPI

Bruce David Warninger, D.C.

  • Chiropractor
  • Yakima, WA
National Provider Identifier
1396960142
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001572 Issued in WA
Practice address
2508 W Nob Hill Blvd
Yakima, WA 98902-5104
Phone
(509) 248-5555
Fax
(509) 469-4938
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001572 WA Primary

Addresses

Primary practice location

2508 W Nob Hill Blvd
Yakima, WA 98902-5104

Mailing address

2508 W Nob Hill Blvd
Yakima, WA 98902-5104
Phone (509) 248-5555

Other identifiers 5

IdentifierTypeStateIssuer
45657OtherWADEPT OF L & I
WA4723OtherWAREGENCE
704OtherWAGROUP HEALTH
8349441MedicaidWA
14900OtherWAAMERICAN WHOLE H N

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080814000695 PA Practitioner - Chiropractic 2668368028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Chiropractic Centres Northeast, Inc.Group PAC ID 6901971662, 2 clinicians

Practice addresses (Care Compare)

395 Meridian Ave
Scranton, PA 18504-2630
Phone (570) 488-9800

631 Roosevelt Hwy
Waymart, PA 18472-6117
Phone (570) 488-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00001572WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Chiropractic Centres, Inc. P.SD. Chiropractor Past Accepting new patients
Sunnyside Chiropractic Centre P S Chiropractor PastSince Dec 23, 2005 Accepting new patients
Yakima Chiropractic Centres Inc, P.S. Chiropractor Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396960142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 W NOB HILL BLVD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989025104",
            "telephone_number": "509-248-5555",
            "fax_number": "509-469-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 W NOB HILL BLVD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989025104",
            "telephone_number": "509-248-5555",
            "fax_number": "509-469-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNINGER",
        "first_name": "BRUCE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L & I",
            "identifier": "45657",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "WA4723",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "704",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8349441",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN WHOLE H N",
            "identifier": "14900",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.