Barry Wayne Fedon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC4081L Issued in PA

Practice address

391B Nazareth Pike
Bethlehem, PA 18020-9601

Phone

(610) 759-9678

Fax

(610) 759-9186

NPI assigned

Apr 12, 2006

Last updated

Jul 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1407810104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391B NAZARETH PIKE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209601",
            "telephone_number": "610-759-9678",
            "fax_number": "610-759-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391B NAZARETH PIKE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209601",
            "telephone_number": "610-759-9678",
            "fax_number": "610-759-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDON",
        "first_name": "BARRY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC4081L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "562540",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2957335",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02785300",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PERSONAL CHOIC",
            "identifier": "2111376000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "607154",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3998498",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Lynn Faust, PA-C
• Taylor Faust
• Shelby Elizabeth Favre
• Elena Ellen Faynberg, PSYD
• Jayne Febbraro, CRNP
• Lisa M Fedullo, MD
• Michael Andrew Feduska, M.D.
• Richard G Feduska, MD
• Charles Feeney, R.PH.
• Nicoletta Feeney

• Chiropractor in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.