Bruce J Short, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

0104555886 Issued in VA

Practice address

19945 Riverside Commons PLZ Ste 100
Ashburn, VA 20147-5146

Phone

(703) 481-4400

Fax

(703) 935-0430

NPI assigned

Jul 31, 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 DC

Enrollment records 1

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 and National Provider Directory roles.

• Recharge Wellness

  • Sports Physician Chiropractor
  • Ashburn, VA
  • NPI 1750654497

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1497761381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18328 BUCCANEER TER",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768474",
            "telephone_number": "703-400-5868",
            "fax_number": "703-935-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19945 RIVERSIDE COMMONS PLZ STE 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475146",
            "telephone_number": "703-481-4400",
            "fax_number": "703-935-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "BRUCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104555886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "F964-0001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ghazanfar Ali Sheikh, MD
• Amil Shekib
• Meghan Michele Shimp, AGNP-C
• Heather Demacio Shirey, MS CCC-SLP
• Shohreh Shirkhorshidi, FNP
• John Alexei Siegal, MSW
• Sigma Senior Care LLC
• Regina Siles, BCBA
• Lori Ann Simpson, CERTIFIED DOULA
• Danielle Sims, LPC

• Sports Physician Chiropractor in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Sports Physician Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.