Active NPI
Bremen Chiropractic Center PC
- Sports Physician Chiropractor
- Bremen, IN
National Provider Identifier
1598098766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 08000818A
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 08000818A | IN | Primary |
| Sports Physician Chiropractor | 111NS0005X | 2301008007 | MI | |
| Acupuncturist | 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 DirectoryLocations
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.