Bruce J Demartino, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3491 Issued in AZ

Practice address

4550 E. Bell Road
# 114
Phoenix, AZ 85032-9342

Phone

(602) 996-6668

Fax

(602) 494-0926

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sobel Medical Consultants PCGroup PAC ID 7911983747, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HBADBD

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.

• Sobel Medical Consultants PC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1467655704
  Medicare reassignment Care Compare group
• Sobel Medical Consultants PC

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1407001084
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1720043532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 E. BELL ROAD",
            "address_2": "# 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850289342",
            "telephone_number": "602-996-6668",
            "fax_number": "602-494-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E. BELL ROAD",
            "address_2": "# 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329342",
            "telephone_number": "602-996-6668",
            "fax_number": "602-494-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARTINO",
        "first_name": "BRUCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0932620",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE COMP",
            "identifier": "23073491",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCS",
            "identifier": "347056",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David S Demaine, DDS
• Elizabeth Demar, RN
• Ruth W Demar, RPH
• Kristen Demarrais, DPT
• Janeen Alice Demarte, PH.D.
• Larry Ross Demas, M.D.
• Matthew Demattei, M. ED.
• Dania Demauro
• Dembro Outpatient Services
• Harold Scott Demby

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.