Brenden K Buckley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-004120L Issued in PA

Practice address

539 Baltimore St
Hanover, PA 17331-3315

Phone

(717) 633-5411

Fax

(717) 633-9825

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Palmer College Chiropractic - Davenport, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Buckley Chiropractic Center PCGroup PAC ID 9234177122, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Buckley Chiropractic Center PC

  • Chiropractor
  • Hanover, PA
  • NPI 1194926519
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811035397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 BALTIMORE ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313315",
            "telephone_number": "717-633-5411",
            "fax_number": "717-633-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 BALTIMORE ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313315",
            "telephone_number": "717-633-5411",
            "fax_number": "717-633-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "BRENDEN",
        "middle_name": "K",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-004120L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "1429343",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broadway Pharmacy
• Brockie Healthcare Inc
• Tara Bryan
• Alana Buchheit, PA-C
• Buckley Chiropractic Center PC
• Kimberly Kay Burdette, CRNP
• Misty Hardin Burrows, OTR
• Daniel Michael Calder, FNP-C
• Terrence M Calder, M.D.
• Bonnie Marie Calhoun, M.S., CCC-SLP

• Chiropractor in Hanover, PA
• Providers in Hanover, PA by specialty
• Chiropractor in Pennsylvania

• 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; Order and Referring.
• 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.