Active NPI
Thomas William Graziano, D.C.
- Chiropractor
- Broomall, PA
National Provider Identifier
1780800854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 05416-L
- Practice address
- 580 Reed Rd
Suite 8a
Broomall, PA 19008-3655 - Phone
- (610) 356-2300
- Fax
- (610) 356-6042
- NPI assigned
- Apr 17, 2007
- 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 | DC 05416-L | PA | Primary |
Addresses
Primary practice location
580 Reed Rd
Suite 8a
Broomall, PA 19008-3655
Mailing address
580 Reed Rd
Suite 8a
Broomall, PA 19008-3655
Phone (610) 356-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080825000014 | PA | Practitioner - Chiropractic | 5193890218 | Practice locations: Broomall, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
580 Reed Rd
8A
Broomall, PA 19008-3655
Phone (610) 356-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 05416-L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas W Graziano | Chiropractor | Past | Accepting new patients |
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": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780800854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 REED RD",
"address_2": "SUITE 8A",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083655",
"telephone_number": "610-356-2300",
"fax_number": "610-356-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 REED RD",
"address_2": "SUITE 8A",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083655",
"telephone_number": "610-356-2300",
"fax_number": "610-356-6042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAZIANO",
"first_name": "THOMAS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC 05416-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomall, 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.
- 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.