Individual provider Active NPI

Bruce Gruber, D.C.

  • Chiropractor
  • Gig Harbor, WA
National Provider Identifier
1861537383
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003198 Issued in WA
Practice address
6506 Wollochet Dr. NW
BLDG. B
Gig Harbor, WA 98335
Phone
(253) 853-3353
Fax
(253) 858-1552
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003198 WA Primary

Addresses

Primary practice location

6506 Wollochet Dr. NW
BLDG. B
Gig Harbor, WA 98335

Mailing address

6506 Wollochet Dr. NW
BLDG. B
Gig Harbor, WA 98335
Phone (253) 853-3353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080904000641 WA Practitioner - Chiropractic 2961426911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6506 Wollochet Dr NW BLDG B
Gig Harbor, WA 98335-8319
Phone (253) 853-3353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00003198WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gruber Chiropractic PS Chiropractor CurrentSince Jan 1, 2006 Accepting new patients

Locations

3608 Grandview St
Gig Harbor, WA 98335
Phone (253) 853-3353

6506 Wollochet Dr
Gig Harbor, WA 98335
Phone (253) 222-8648

6506 Wollochet Dr
#B
Gig Harbor, WA 98335
Phone (253) 853-3353

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1861537383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 WOLLOCHET DR. NW",
            "address_2": "BLDG. B",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "253-853-3353",
            "fax_number": "253-858-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 WOLLOCHET DR. NW",
            "address_2": "BLDG. B",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "253-853-3353",
            "fax_number": "253-858-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "BRUCE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.