Brian J Traversa, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1921 Issued in MA

Practice address

35 Canal St
Lee, MA 01238-1123

Phone

(413) 243-3994

Fax

(413) 243-3994

NPI assigned

Jan 6, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madden Chiropractic LLCGroup PAC ID 9133178312, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Madden Chiropractic LLC

  • Chiropractor
  • Pittsfield, MA
  • NPI 1326107566
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1477531663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 WILLIAMS ST",
            "address_2": "STE B",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017463",
            "telephone_number": "413-442-0913",
            "fax_number": "413-442-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CANAL ST",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012381123",
            "telephone_number": "413-243-3994",
            "fax_number": "413-243-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVERSA",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1610317",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darice Michele Taxter, R.PH.
• Betty Toledo Vargas
• Town of Lee
• Town of Lee
• Barbara S Tracy, MSN, FNP
• Shenna Tyer
• Walgreen Co
• Rachel E Welch, MSPT
• Robert Wespiser, MD
• Gretchen Marie West, M.A., CCC/SLP, MED

• Chiropractor in Lee, MA
• Providers in Lee, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.