Individual provider Active NPI

Bridgette Mann, DR.

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1609653245
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011836 Issued in PA
Practice address
2981 Grant Ave
Philadelphia, PA 19114
Phone
(215) 632-3074
NPI assigned
Sep 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00799500 NJ
Chiropractor 111N00000X DC011836 PA Primary

Addresses

Primary practice location

2981 Grant Ave
Philadelphia, PA 19114

Mailing address

1190 Blueberry CT.
Canadensis, PA 18325
Phone (570) 878-2180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717003515 PA Practitioner - Chiropractic 3173068830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McQuaite Chiropractic Center, PC 2 clinicians

Practice addresses (Care Compare)

295 Logan St
Doylestown, PA 18901-4017
Phone (267) 247-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00799500NJMDChiropractor
DC011836PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McQuaite Chiropractic Center, PC Chiropractor CurrentSince Jul 8, 2024 Accepting new patients

Locations

295 Logan St
Doylestown, PA 18901
Phone (215) 605-7112

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1609653245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 BLUEBERRY CT.",
            "city": "CANADENSIS",
            "state": "PA",
            "postal_code": "18325",
            "telephone_number": "570-878-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2981 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19114",
            "telephone_number": "215-632-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "BRIDGETTE",
        "credential": "DR.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00799500",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.