Jennifer Kelly Bollinger, DC, L.AC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

009795 Issued in PA

Practice address

8026 Hamilton Blvd
Breinigsville, PA 18031-1219

Phone

(610) 395-5509

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Livewell Integrated Health, LLCGroup PAC ID 1850513276, 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.

• Livewell Integrated Health, LLC

  • Chiropractor
  • Breinigsville, PA
  • NPI 1528233624
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1568550473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "TREXLERTOWN",
            "state": "PA",
            "postal_code": "180870096",
            "telephone_number": "973-769-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8026 HAMILTON BLVD",
            "city": "BREINIGSVILLE",
            "state": "PA",
            "postal_code": "180311219",
            "telephone_number": "610-395-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "JENNIFER",
        "middle_name": "KELLY",
        "credential": "DC, L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "009795",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "000924",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Reed Ballek, HCHI, HCHD
• Waded Baquerizo Mahuad, M.A.
• Sridevi Bavirisetty
• Chandni Bhagat, PHARMD
• Roslyn Debbie Birnbaum, LPC
• Chapleton Healthcare Services LLC
• Chor Youth and Family Services, Inc.
• Erin Cofer
• Marissa K Cruz, MS
• Barbara Davis, LPN

• Chiropractor in Breinigsville, PA
• Providers in Breinigsville, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.