Active NPI
Patrick Jacque Graux, D.C.
- Chiropractor
- Bowie, MD
National Provider Identifier
1609801042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1805
- Practice address
- 4365 Northview Dr
Bowie, MD 20716-2603 - Phone
- (301) 262-2346
- Fax
- (301) 262-4999
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1805 | MD | Primary |
Addresses
Primary practice location
4365 Northview Dr
Bowie, MD 20716-2603
Mailing address
4365 Northview Dr
Bowie, MD 20716-2603
Phone (301) 262-2346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 745184900 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4365 Northview Dr
Bowie, MD 20716-2603
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1805 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adio, Inc | Chiropractor | Current | Accepting new patients |
Locations
4365 Northview Dr
Bowie, MD 20716
Phone (301) 262-2346
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": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1609801042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4365 NORTHVIEW DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207162603",
"telephone_number": "301-262-2346",
"fax_number": "301-262-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4365 NORTHVIEW DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207162603",
"telephone_number": "301-262-2346",
"fax_number": "301-262-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAUX",
"first_name": "PATRICK",
"middle_name": "JACQUE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "1805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "745184900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.