Bruce M Moselle, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X0020861 Issued in NY

Practice address

17 Cronin Rd
Ste C
Queensbury, NY 12804-1418

Phone

(518) 615-0056

Fax

(518) 615-0059

NPI assigned

Nov 9, 2005

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Moselle Chiropractic Center, PC

  • Chiropractor
  • Glens Falls, NY
  • NPI 1376661470
  Authorized official Same address or phone

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477534287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAGAMORE ST",
            "address_2": "SUITE B",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013115",
            "telephone_number": "518-615-0056",
            "fax_number": "518-615-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CRONIN RD",
            "address_2": "STE C",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041418",
            "telephone_number": "518-615-0056",
            "fax_number": "518-615-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSELLE",
        "first_name": "BRUCE",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0020861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany L Moon, M.A., S.S.P.
• Shelly Ann Moore, M.S.ED.
• Theresa M Moran, OTR/L
• Carrieanne L Morgan, RDH
• Lindsay Morrissey, LMHC
• Jacqueline Mulcahy, RN
• Sheryl Munchbach, FNP-BC
• Scott Munro, M.D.
• Robert Allen Munyon, LCSW
• Margrith Murphy, SLP

• Chiropractor in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.