Active NPI
Bruce Kelvin Sherman, D.C.
- Nutrition Chiropractor
- Lapeer, MI
National Provider Identifier
1447312921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 2301002868
- Practice address
- 700 S Main St
Suite 107
Lapeer, MI 48446-3077 - Phone
- (810) 245-1111
- Fax
- (810) 664-0138
- NPI assigned
- Dec 14, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 2301002868 | MI | Primary |
Addresses
Primary practice location
700 S Main St
Suite 107
Lapeer, MI 48446-3077
Mailing address
1268 Hidden View Dr
Lapeer, MI 48446-9325
Phone (810) 245-1111
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301002868 | MI | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lapeer Wellness PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Lapeer, MI
- NPI 1275895195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1447312921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1268 HIDDEN VIEW DR",
"city": "LAPEER",
"state": "MI",
"postal_code": "484469325",
"telephone_number": "810-245-1111",
"fax_number": "810-664-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S MAIN ST",
"address_2": "SUITE 107",
"city": "LAPEER",
"state": "MI",
"postal_code": "484463077",
"telephone_number": "810-245-1111",
"fax_number": "810-664-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "BRUCE",
"middle_name": "KELVIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "MI",
"license": "2301002868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lapeer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.