Bruce David Deutsch, D.C., F.I.A.M.A.
Individual provider Active NPI Chiropractor · Floyd, VA
NPI 1801909460 · NPPES record last updated Feb 10, 2009
Key facts
- NPI
- 1801909460
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0104000905 (VA)
- Practice address
- 346 Parkview Rd NE
Floyd, VA 24091-3807 - Phone
- (540) 745-6494
- Fax
- (540) 745-6595
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4352 | CO | MD | Mental Health Counselor |
| 0104000905 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collins Chiropractic Clinic | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000905 | VA | Yes |
| Chiropractor | 111N00000X | 4352 | CO |
Addresses
Primary practice location
346 Parkview Rd NE
Floyd, VA 24091-3807
Mailing address
PO Box 322
Floyd, VA 24091-0322
Phone (540) 745-6494
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036672 | Other | VA | ANTHEM BCBS |
Other providers in Floyd, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.