Bridgeman Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHD0001009 Issued in WA

Legal business name

BRIDGEMAN CHIROPRACTIC PLLC

Practice address

304 S Water St
Suite 103
Ellensburg, WA 98926-3617

Phone

(509) 925-7246

Fax

(509) 933-4104

NPI assigned

May 1, 2014

Last updated

May 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Martin Bridgeman, D.C.

Title

Owner/D.C.

Phone

(509) 925-7246

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1740690569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S WATER ST",
            "address_2": "SUITE 103",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263617",
            "telephone_number": "509-925-7246",
            "fax_number": "509-933-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S WATER ST",
            "address_2": "SUITE 103",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263617",
            "telephone_number": "509-925-7246",
            "fax_number": "509-933-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEMAN CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "BRIDGEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER/D.C.",
        "authorized_official_telephone_number": "509-925-7246",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034315",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHD0001009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.