NPIMap

Organization Active NPI

Bridge Chiropractic and Integrated Health LLC

  • Chiropractor
  • Port Huron, MI
National Provider Identifier
1750641932
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009785 Issued in MI
Legal business name
BRIDGE CHIROPRACTIC AND INTEGRATED HEALTH LLC
Practice address
1025 Huron Ave
Port Huron, MI 48060-3763
Phone
(810) 294-5678
Fax
(810) 294-5677
NPI assigned
May 22, 2012
Last updated
May 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Authorized official

Name
Dr. Michael P. McPharlin, D.C.NPI 1639476427
Title
Owner
Phone
(810) 650-1842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008972 MI
Chiropractor 111N00000X 2301009785 MI Primary

Addresses

Primary practice location

1025 Huron Ave
Port Huron, MI 48060-3763

Mailing address

1025 Huron Ave
Port Huron, MI 48060-3763
Phone (810) 294-5678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120904000813 MI Part B Supplier - Clinic/Group Practice 7012164692 Receives reassigned benefits from 3 practitioners
Practice locations: Port Huron, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1750641932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 HURON AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603763",
            "telephone_number": "810-294-5678",
            "fax_number": "810-294-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 HURON AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603763",
            "telephone_number": "810-294-5678",
            "fax_number": "810-294-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE CHIROPRACTIC AND INTEGRATED HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "MCPHARLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-650-1842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008972",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.