Individual provider Active NPI

Jeff Allen Biddle, DC

  • Chiropractor
  • Elizabeth, PA
National Provider Identifier
1780798884
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002817L Issued in PA
Practice address
211 Plum St
Elizabeth, PA 15037-1517
Phone
(412) 384-7068
Fax
(412) 384-2805
NPI assigned
Aug 18, 2006
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002817L PA Primary
Sports Physician Chiropractor 111NS0005X DC002817L PA

Addresses

Primary practice location

211 Plum St
Elizabeth, PA 15037-1517

Mailing address

639 Glassport Elizabeth Road
Elizabeth, PA 15037-1918
Phone (412) 384-7068

Other practice location 1

639 Glassport Elizabeth Road
Elizabeth, PA 15037-1918
Phone (412) 384-7068

Other identifiers 2

IdentifierTypeStateIssuer
B1452992OtherPABCBS
P00088766OtherPARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100526000508 PA Practitioner - Chiropractic 5294817250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

211 Plum St
Elizabeth, PA 15037-1517
Phone (412) 384-7068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeff a. Biddle DC Chiropractor CurrentSince Jan 1, 2003 Accepting new patients

Locations

211 Plum St
Elizabeth, PA 15037
Phone (412) 384-7068

Organizations & group practices 1

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1780798884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 GLASSPORT ELIZABETH ROAD",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150371918",
            "telephone_number": "412-384-7068",
            "fax_number": "412-384-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PLUM ST",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150371517",
            "telephone_number": "412-384-7068",
            "fax_number": "412-384-2805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "639 Glassport Elizabeth Road",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "PA",
            "postal_code": "150371918",
            "country_code": "US",
            "telephone_number": "412-384-7068",
            "fax_number": "412-384-2805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIDDLE",
        "first_name": "JEFF",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002817L",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC002817L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "B1452992",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00088766",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.