Brian Matthew Bayzick, D.C.

Individual provider Active NPI Chiropractor · Warminster, PA

NPI 1528022373 · NPPES record last updated Oct 10, 2016

Key facts

NPI
1528022373
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
DC8629 (PA)
Practice address
600 Louis Dr
Suite 202
Warminster, PA 18974-2844
Phone
(215) 957-5400
Fax
(215) 957-5401
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DC8629PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
West Philadelphia Pain Management Center Chiropractor Past Accepting new patients
BMB Chiropractic Chiropractor Past
since Apr 8, 2004
Accepting new patients
Excelsia Physicians Group LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC8629 PA Yes

Addresses

Primary practice location

600 Louis Dr
Suite 202
Warminster, PA 18974-2844

Mailing address

600 Louis Dr
Suite 202
Warminster, PA 18974-2844
Phone (215) 957-5400

Other identifiers

IdentifierTypeStateIssuer
2225058000OtherPAKEYSTONE HEALTH PLAN EAST
001539943OtherPABCBS
111N00000XOtherPATAXONOMY
3546777OtherPAAETNA

Other providers in Warminster, PA

All providers in Warminster, PA · Chiropractor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.