Individual provider Active NPI

Albert Patterson, D.C.

  • Chiropractor
  • North Branch, MI
National Provider Identifier
1437248275
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AP008377 Issued in MI
Practice address
3702 Huron St
Suite 1
North Branch, MI 48461-8142
Phone
(810) 688-4891
NPI assigned
Oct 12, 2006
Last updated
Aug 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AP008377 MI Primary

Addresses

Primary practice location

3702 Huron St
Suite 1
North Branch, MI 48461-8142

Mailing address

3702 Huron St
PO Box 48
North Branch, MI 48461-8142
Phone (810) 688-4891

Other identifiers 1

IdentifierTypeStateIssuer
950D450300OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120409000419 MI Practitioner - Chiropractic 0143481788 Practice locations: North Branch, MI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3702 Huron St
North Branch, MI 48461-8142
Phone (810) 688-4891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP008377MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1437248275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 HURON ST",
            "address_2": "PO BOX 48",
            "city": "NORTH BRANCH",
            "state": "MI",
            "postal_code": "484618142",
            "telephone_number": "810-688-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 HURON ST",
            "address_2": "SUITE 1",
            "city": "NORTH BRANCH",
            "state": "MI",
            "postal_code": "484618142",
            "telephone_number": "810-688-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "AP008377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950D450300",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.