Individual provider Active NPI

Bruce Alexander, D.C.

  • Chiropractor
  • Furlong, PA
National Provider Identifier
1811057904
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002689L Issued in PA
Practice address
630 Edison Furlong Rd
Furlong, PA 18925-1026
Phone
(215) 348-9090
Fax
(215) 348-9090
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002689L PA Primary

Addresses

Primary practice location

630 Edison Furlong Rd
Furlong, PA 18925-1026

Mailing address

630 Edison Furlong Rd
P.O. Box 415
Furlong, PA 18925-1026
Phone (215) 348-9090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120522000968 PA Practitioner - Chiropractic 6901855584 Practice locations: Furlong, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

630 Edison Furlong Rd
Furlong, PA 18925-0415

630 Edison Furlong Rd
Alexander Chiropractice Center
Furlong, PA 18925-1026
Phone (215) 348-9090

PO Box
Suite 415
Furlong, PA 18925-0415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811057904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 EDISON FURLONG RD",
            "address_2": "P.O. BOX 415",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251026",
            "telephone_number": "215-348-9090",
            "fax_number": "215-348-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 EDISON FURLONG RD",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251026",
            "telephone_number": "215-348-9090",
            "fax_number": "215-348-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002689L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Furlong, 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.

Verify at the official NPI Registry.