David Bruce Patrick, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-005665-L Issued in PA

Practice address

505 N. Market Street
Suite 101
Elizabethtown, PA 17022-1516

Phone

(717) 361-9130

Fax

(717) 689-5243

NPI assigned

Nov 7, 2006

Last updated

Feb 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Patrick Chiropractic Center, P.C.

  • Clinic/Center
  • Elizabethtown, PA
  • NPI 1386877223
  Authorized official Same address or phone

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1669541421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N. MARKET STREET",
            "address_2": "SUITE 101",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170221516",
            "telephone_number": "717-361-9130",
            "fax_number": "717-689-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N. MARKET STREET",
            "address_2": "SUITE 101",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170221516",
            "telephone_number": "717-361-9130",
            "fax_number": "717-689-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "DAVID",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-005665-L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005665L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ005665L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01503292",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01891201",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Otto-Sullivan, DDS
• Kelsey O, Pappas, MD
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• Joshua David Pasek, DPT
• Patrick Chiropractic Center, P.C.
• Eric Matthew Pavelik, RPH
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01672)
• PHS Physical Therapy, LLC (Select Physical Therapy)
• Megan Polites
• Michael Patrick Porr, PHARMD, RPH

• Chiropractor in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.