Individual provider Active NPI

Sharon Bruce, D.C.

  • Sports Physician Chiropractor
  • Signal Hill, CA
National Provider Identifier
1659445039
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC26846 Issued in CA
Practice address
3199 E Pacific Coast Hwy
Suite 201
Signal Hill, CA 90755-1785
Phone
(562) 961-7660
Fax
(562) 961-8535
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

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
Sports Physician Chiropractor 111NS0005X DC26846 CA Primary

Addresses

Primary practice location

3199 E Pacific Coast Hwy
Suite 201
Signal Hill, CA 90755-1785

Mailing address

3199 E Pacific Coast Hwy
Suite 201
Signal Hill, CA 90755-1785
Phone (562) 961-7660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040813000340 CA Practitioner - Chiropractic 3476526955 Reassigns benefits to 1 organization
Practice locations: Long Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4425 Atlantic Ave
Suite A10
Long Beach, CA 90807-2245
Phone (562) 961-7660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon Bruce Chiropractic PC Sports Physician CurrentSince Sep 9, 2018 Accepting new patients

Locations

4425 Atlantic Ave
Ste A10
Long Beach, CA 90807
Phone (310) 720-3062

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659445039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3199 E PACIFIC COAST HWY",
            "address_2": "SUITE 201",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907551785",
            "telephone_number": "562-961-7660",
            "fax_number": "562-961-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3199 E PACIFIC COAST HWY",
            "address_2": "SUITE 201",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907551785",
            "telephone_number": "562-961-7660",
            "fax_number": "562-961-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "SHARON",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC26846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Hill, CA

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.