Bruce Allen Davis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2082 Issued in WI

Practice address

154 E 5TH St
Neillsville, WI 54656

Phone

(715) 743-3404

Fax

(715) 743-4999

NPI assigned

Sep 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Bruce Allen Davis Professional name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Davis Chiropractic SC

  • Chiropractor
  • Neillsville, WI
  • NPI 1669576302
  Medicare reassignment NPD Authorized official
• Black River Chiropractic Center SC

  • Chiropractor
  • Black River Falls, WI
  • NPI 1790786242
  NPD (past)
• Black River Chiropractic Center, SC

  • Chiropractor
  • Neillsville, WI
  • NPI 1073514527
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1952396640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 E 5TH ST",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561941",
            "telephone_number": "715-743-3404",
            "fax_number": "715-743-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 E 5TH ST",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "54656",
            "telephone_number": "715-743-3404",
            "fax_number": "715-743-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRUCE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38795300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRUCE",
            "last_name": "DAVIS",
            "middle_name": "ALLEN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Clark County
• Barbara L Colba, SLP
• Michael G Conard, PA
• Catherine M. Cordell, LCSW
• Davis Chiropractic SC
• Ronda Ditter, MD
• Michael K Donnelly, D.O.
• Doula Alcove
• Erin Kaye Drawz, LPC
• Angela Eggen, OTR

• Chiropractor in Neillsville, WI
• Providers in Neillsville, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.