Bruce William Surace, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X005240 Issued in NY

Practice address

59 Middle Country Rd
Middle Island, NY 11953-2502

Phone

(631) 732-1615

Fax

(631) 732-1612

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1407843444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MIDDLE COUNTRY RD",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532502",
            "telephone_number": "631-732-1615",
            "fax_number": "631-732-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MIDDLE COUNTRY RD",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532502",
            "telephone_number": "631-732-1615",
            "fax_number": "631-732-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURACE",
        "first_name": "BRUCE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "W COMP",
            "identifier": "C052409",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Stines, RN
• Katie Stockinger
• Arionna Eleesa Sturgis
• Yiji Suh
• Kathleen Sundar Natividad, MA OT/L
• Surge Rehabilitation and Nursing LLC
• Patricia Swezey-Wrede, RN
• Lisa G Szaraz, LMT
• Karly Taplin-Lucarelli, M.A.
• Hunter Reid Tellerman, MSW

• Chiropractor in Middle Island, NY
• Providers in Middle Island, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.