Active NPI
Lawrence C. Bagnell
- Chiropractor
- Langhorne, PA
National Provider Identifier
1679536056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC004829L
- Practice address
- 301 Corporate Dr E
Langhorne, PA 19047-8009 - Phone
- (215) 504-2711
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC004829L | PA | Primary |
| Chiropractor | 111N00000X | CH6467 | FL |
Addresses
Primary practice location
301 Corporate Dr E
Langhorne, PA 19047-8009
Mailing address
301 Corporate Dr E
Langhorne, PA 19047-8009
Phone (215) 504-2711
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000187130901 | Other | PA | UNITED HEALTHCARE |
| 892912 | Other | PA | HIGHMARK BLUE SHIELD |
| 0141730000 | Other | PA | INDEPENDENCE BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
301 Corporate Dr E
Langhorne, PA 19047-8009
Phone (215) 504-2711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH6467 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bagnell Chiropractic Life Centre | Chiropractor | Current | Accepting new patients |
Locations
301 Corporate Dr E
Langhorne, PA 19047
Phone (215) 504-2711
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.
-
- Chiropractor
- Langhorne, PA
- NPI 1023061082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1679536056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CORPORATE DR E",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190478009",
"telephone_number": "215-504-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 CORPORATE DR E",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190478009",
"telephone_number": "215-504-2711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGNELL",
"first_name": "LAWRENCE",
"middle_name": "C.",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC004829L",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH6467",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "000187130901",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "892912",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0141730000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.