Active NPI
Bradley David Beyer, D.C.
- Chiropractor
- Phoenixville, PA
National Provider Identifier
1780792820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC003920L
- Practice address
- 1220 Valley Forge Rd
Suite 4
Phoenixville, PA 19460-2676 - Phone
- (610) 917-8202
- Fax
- (610) 917-8205
- NPI assigned
- Aug 28, 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 | DC003920L | PA | Primary |
Addresses
Primary practice location
1220 Valley Forge Rd
Suite 4
Phoenixville, PA 19460-2676
Mailing address
1220 Valley Forge Rd
Suite 4
Phoenixville, PA 19460-2676
Phone (610) 917-8202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150901001118 | DE | Practitioner - Chiropractic | 3173797172 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC003920L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sabers Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
| Marc Deodato LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780792820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 VALLEY FORGE RD",
"address_2": "SUITE 4",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194602676",
"telephone_number": "610-917-8202",
"fax_number": "610-917-8205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 VALLEY FORGE RD",
"address_2": "SUITE 4",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194602676",
"telephone_number": "610-917-8202",
"fax_number": "610-917-8205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYER",
"first_name": "BRADLEY",
"middle_name": "DAVID",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC003920L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenixville, PA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.