Eagle Creek Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001056 Issued in IN

Legal business name

EAGLE CREEK CHIROPRACTIC, PC

Practice address

3820 N High School Rd
Indianapolis, IN 46254-2709

Phone

(317) 299-3330

Fax

(317) 299-0404

NPI assigned

Jan 23, 2008

Last updated

Mar 31, 2016By 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

Dr. Lucas Patrick Bromley, D.C.NPI 1972542876

Title

President/Owner

Phone

(317) 299-3330

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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.

• Lucas Patrick Bromley, D C

  • Chiropractor
  • Indianapolis, IN
  • NPI 1972542876
  Medicare reassignment Authorized official
• Jermaine Allen Lindsey, DC

  • Chiropractor
  • Danville, IN
  • NPI 1467107904
  Medicare reassignment NPD
• Sean Peck, DC

  • Chiropractor
  • Indianapolis, IN
  • NPI 1225909567
  Medicare reassignment NPD
• Julio Cesar Cruz Gonzalez, DC

  • Chiropractor
  • Indianapolis, IN
  • NPI 1760016646
  NPD (past)
• H. John Volbers, DC

  • Chiropractor
  • Indianapolis, IN
  • NPI 1720051253
  NPD (past)

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1780861666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 N HIGH SCHOOL RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542709",
            "telephone_number": "317-299-3330",
            "fax_number": "317-299-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 N HIGH SCHOOL RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542709",
            "telephone_number": "317-299-3330",
            "fax_number": "317-299-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE CREEK CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "BROMLEY",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "317-299-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100066750A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Marie Eades, LMHCA, LPC
• Michael Thomas Eadon, MD
• Cameron Eads
• Robin Eads, DNP, RN, ACNS-BC
• Robyn Eads
• Eagle Creek Counseling Services, Inc.
• Eagle Creek Dentistry, LLC
• Eagle Creek Dermatology
• Eagle Creek Internal Medicine PC
• Eagle Creek Obstetrics & Gynecology, PC (Eagle Creek OB/GYN PC)

• Chiropractor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.