Individual provider Active NPI

Brian Jon Ruggiero, D.C.

  • Rehabilitation Chiropractor
  • Cumming, GA
National Provider Identifier
1619053576
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
005583 Issued in GA
Practice address
233 Atlanta Rd
Cumming, GA 30040-2609
Phone
(770) 888-4600
Fax
(770) 888-4601
NPI assigned
Oct 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 005583 GA Primary

Addresses

Primary practice location

233 Atlanta Rd
Cumming, GA 30040-2609

Mailing address

233 Atlanta Rd
Cumming, GA 30040-2609
Phone (770) 888-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724000432 GA Practitioner - Chiropractic 1153587993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

233 Atlanta Rd
Cumming, GA 30040-2609
Phone (770) 888-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005583GAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Health and Wellness Center PC Rehabilitation CurrentSince Aug 1, 1996 Accepting new patients

Locations

233 Atlanta Rd
Cumming, GA 30040
Phone (770) 888-4600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619053576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 ATLANTA RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402609",
            "telephone_number": "770-888-4600",
            "fax_number": "770-888-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 ATLANTA RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402609",
            "telephone_number": "770-888-4600",
            "fax_number": "770-888-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "BRIAN",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "005583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.