Individual provider Active NPI

Bradley G Semegon, DC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1912005190
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0004819 Issued in FL
Practice address
7248 Merrill Rd
Jacksonville, FL 32277-3725
Phone
(904) 744-4461
Fax
(904) 744-3259
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0004819 FL Primary

Addresses

Primary practice location

7248 Merrill Rd
Jacksonville, FL 32277-3725

Mailing address

7248 Merrill Rd
Jacksonville, FL 32277-3725
Phone (904) 744-4461

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111031000242 FL Practitioner - Chiropractic 2466625835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7248 Merrill Rd
Jacksonville, FL 32277-3725
Phone (904) 744-4461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Semegon Chiropractic Health Center, PA Chiropractor CurrentSince Jun 12, 2012 Accepting new patients

Locations

7248 Merrill Rd
Jacksonville, FL 32277
Phone (904) 744-4461

7248 Merrill Rd
Ste B
Jacksonville, FL 32277
Phone (904) 744-4461

7248 Merrill Rd
#B
Jacksonville, FL 32277
Phone (904) 744-4461

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1912005190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7248 MERRILL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322773725",
            "telephone_number": "904-744-4461",
            "fax_number": "904-744-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7248 MERRILL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322773725",
            "telephone_number": "904-744-4461",
            "fax_number": "904-744-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMEGON",
        "first_name": "BRADLEY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0004819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.