Active NPI
Stewart Willis Gambrill Jr., D.C.
- Chiropractor
- Boothwyn, PA
National Provider Identifier
1720007461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC002223-L
- Practice address
- 2302 Meetinghouse Rd
Boothwyn, PA 19061-3408 - Phone
- (610) 485-6500
- NPI assigned
- Jul 19, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC002223-L | PA | Primary |
Addresses
Primary practice location
2302 Meetinghouse Rd
Boothwyn, PA 19061-3408
Mailing address
2302 Meetinghouse Rd
Boothwyn, PA 19061-3408
Phone (610) 485-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC002223-L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720007461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2302 MEETINGHOUSE RD",
"city": "BOOTHWYN",
"state": "PA",
"postal_code": "190613408",
"telephone_number": "610-485-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 MEETINGHOUSE RD",
"city": "BOOTHWYN",
"state": "PA",
"postal_code": "190613408",
"telephone_number": "610-485-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBRILL",
"first_name": "STEWART",
"middle_name": "WILLIS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC002223-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boothwyn, PA
- Elwyn
- EMS Factory Inc (friendship ambulance services transport)
- Family Chiropractic Center
- Foot and Ankle Associates LLP
- Friendship Ambulance Service Transport
- Sylvia Gholston
- Health Care Solutions at Home Inc. (Health Care Solutions)
- James J Hill, D.M.D.
- Eugene Gregory Horsky II, D.C.
- Glenn Eugene Horsky, D.C.
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.