Individual provider Active NPI

Philip Thomas Briglia, D.C.

  • Chiropractor
  • Linwood, NJ
National Provider Identifier
1508884719
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC02630 Issued in NJ
Practice address
210 New Rd
Suite 6
Linwood, NJ 08221-1371
Phone
(609) 653-6200
Fax
(609) 926-8175
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC02630 NJ Primary

Addresses

Primary practice location

210 New Rd
Suite 6
Linwood, NJ 08221-1371

Mailing address

210 New Rd
Suite 6
Linwood, NJ 08221-1371
Phone (609) 653-6200

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC02630NJMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508884719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 NEW RD",
            "address_2": "SUITE 6",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211371",
            "telephone_number": "609-653-6200",
            "fax_number": "609-926-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NEW RD",
            "address_2": "SUITE 6",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211371",
            "telephone_number": "609-653-6200",
            "fax_number": "609-926-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGLIA",
        "first_name": "PHILIP",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC02630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

  • 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.