Individual provider Active NPI

Bruce Andrew McEwen, D.C.

  • Chiropractor
  • Poquoson, VA
National Provider Identifier
1649472515
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001735 Issued in VA
Practice address
370A Wythe Creek Rd
Poquoson, VA 23662-1926
Phone
(757) 868-7709
Fax
(757) 868-7603
NPI assigned
Jun 4, 2007
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
Chiropractor 111N00000X 0104001735 VA Primary

Addresses

Primary practice location

370A Wythe Creek Rd
Poquoson, VA 23662-1926

Mailing address

370A Wythe Creek Rd
Poquoson, VA 23662-1926
Phone (757) 868-7709

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000969 VA Practitioner - Chiropractic 6204093370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

370 A Wythe Creek Rd
Poquoson, VA 23662-1926
Phone (757) 868-7709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Chiropractic, LLC Chiropractor CurrentSince Jan 5, 2022 Accepting new patients
Poquoson Chiropractic Clinic, P.C. Chiropractor CurrentSince Apr 17, 1997 Accepting new patients
Comber Physical Therapy, LLC CurrentSince Jan 5, 2022 Accepting new patients
757 Medical Group LC PastSince Apr 17, 1997 Accepting new patients

Locations

370A Wythe Creek Rd
Poquoson, VA 23662
Phone (757) 528-8881

201 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 229-9740

5388 Discovery Park Blvd
Ste 200
Williamsburg, VA 23188

Organizations & group practices 4

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649472515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370A WYTHE CREEK RD",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621926",
            "telephone_number": "757-868-7709",
            "fax_number": "757-868-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370A WYTHE CREEK RD",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621926",
            "telephone_number": "757-868-7709",
            "fax_number": "757-868-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEWEN",
        "first_name": "BRUCE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poquoson, VA

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.