Organization Active NPI

Fairman Family Chiropractic P C

  • Chiropractor
  • Berlin, PA
National Provider Identifier
1710100458
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009285 Issued in PA
Legal business name
FAIRMAN FAMILY CHIROPRACTIC P C
Practice address
537 Main St
Berlin, PA 15530-1344
Phone
(814) 267-6440
Fax
(814) 267-6442
NPI assigned
Apr 11, 2007
Last updated
Jul 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Dr. Bradley Garrett Fairman, DCNPI 1104956986
Title
President
Phone
(814) 267-6440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009285 PA Primary

Addresses

Primary practice location

537 Main St
Berlin, PA 15530-1344

Mailing address

537 Main St
Berlin, PA 15530-1344
Phone (814) 267-6440

Other identifiers 1

IdentifierTypeStateIssuer
1951171OtherPAHIGHMARK BC/BS

National Provider Directory

National Provider Directory

Locations

537 Main St
Berlin, PA 15530
Phone (814) 267-6440

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1710100458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 MAIN ST",
            "city": "BERLIN",
            "state": "PA",
            "postal_code": "155301344",
            "telephone_number": "814-267-6440",
            "fax_number": "814-267-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 MAIN ST",
            "city": "BERLIN",
            "state": "PA",
            "postal_code": "155301344",
            "telephone_number": "814-267-6440",
            "fax_number": "814-267-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMAN FAMILY CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "FAIRMAN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "GARRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-267-6440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "1951171",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.