Organization Active NPI

Bremen Chiropractic Center PC

  • Sports Physician Chiropractor
  • Bremen, IN
National Provider Identifier
1598098766
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
08000818A Issued in IN
Legal business name
BREMEN CHIROPRACTIC CENTER PC
Practice address
204 E Plymouth Street
Bremen, IN 46506-1238
Phone
(574) 546-4111
Fax
(574) 546-2226
NPI assigned
Sep 4, 2009
Last updated
Sep 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Authorized official

Name
Dr. William George Garl, D.C., C.C.S.P., L.AC
Title
President
Phone
(574) 546-4111

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 08000818A IN Primary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 2301008007 MI
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 81000035A IN

Addresses

Primary practice location

204 E Plymouth Street
Bremen, IN 46506-1238

Mailing address

204 E Plymouth Street
Bremen, IN 46506-1238
Phone (574) 546-4111

National Provider Directory

National Provider Directory

Locations

204 E Plymouth St
Bremen, IN 46506
Phone (219) 546-4111

NPI Registry JSON

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1598098766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E PLYMOUTH STREET",
            "city": "BREMEN",
            "state": "IN",
            "postal_code": "465061238",
            "telephone_number": "574-546-4111",
            "fax_number": "574-546-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E PLYMOUTH STREET",
            "city": "BREMEN",
            "state": "IN",
            "postal_code": "465061238",
            "telephone_number": "574-546-4111",
            "fax_number": "574-546-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREMEN CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "GARL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-546-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.C.S.P., L.AC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IN",
            "license": "08000818A",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MI",
            "license": "2301008007",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "81000035A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.