Active NPI
David Bruce Lewis, D.C.
- Chiropractor
- Pottstown, PA
National Provider Identifier
1962471268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-04442-L
- Practice address
- 1200 E High St
208
Pottstown, PA 19464-4954 - Phone
- (610) 326-5010
- Fax
- (484) 945-0507
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-04442-L | PA | Primary |
Addresses
Primary practice location
1200 E High St
208
Pottstown, PA 19464-4954
Mailing address
1200 E High St
Pottstown, PA 19464-4954
Phone (610) 326-5010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LE611517 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110324000379 | PA | Practitioner - Chiropractic | 8426231754 | Practice locations: Shavertown, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
169 N Main St
Shavertown, PA 18708-1122
Phone (570) 899-6453
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-04442-L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189641600000",
"number": "1962471268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E HIGH ST",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194644954",
"telephone_number": "610-326-5010",
"fax_number": "484-945-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E HIGH ST",
"address_2": "208",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194644954",
"telephone_number": "610-326-5010",
"fax_number": "484-945-0507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "DAVID",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC-04442-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "LE611517",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.