Bruce E. Blakely, D.C., a Medical Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BRUCE E. BLAKELY, D.C., A MEDICAL CORPORATION

Practice address

2878 Camino del Rio S
San Diego, CA 92108-3872

Phone

(619) 281-1999

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Bruce BlakelyNPI 1003999095

Title

Bruce Blakely, D.C.

Phone

(619) 281-1999

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Blakely, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1003999095
  NPD (past) Authorized official
• Alexandria Marie Limon, DC

  • Chiropractor
  • San Diego, CA
  • NPI 1376693812
  NPD

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1851021612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1176",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920077176",
            "telephone_number": "858-509-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 CAMINO DEL RIO S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083872",
            "telephone_number": "619-281-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE E. BLAKELY, D.C., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "BLAKELY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "BRUCE BLAKELY, D.C.",
        "authorized_official_telephone_number": "619-281-1999"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleah Lin Brubaker, MD/PHD
• McQuade Nicholas Brubaker, PA
• Patricia Sue Brubaker, RN
• Kaitlyn Bruccheri, AU.D.
• Bruce a. Brazinsky, a Podiatry Corporation
• Bruce R. Brumm, D.D.S., Inc.
• Bruce Sahba MD a Medical Corporation
• Nathaniel Bruce-Black, HAD
• Angelea Marie Bruce, RD
• Bre'Aja Bruce, RN

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.