Organization Active NPI

Progressive Chiropractic, PLLC

  • Chiropractor
  • Cobleskill, NY
National Provider Identifier
1962826081
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008098-1 Issued in NY
Legal business name
PROGRESSIVE CHIROPRACTIC, PLLC
Practice address
109 Park PL
Cobleskill, NY 12043-4632
Phone
(518) 234-1512
Fax
(518) 234-0180
NPI assigned
Feb 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Dr. Bryan Francis Ludwig, D.C.NPI 1730241837
Title
Owner
Phone
(518) 234-1512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X008098-1 NY Primary

Addresses

Primary practice location

109 Park PL
Cobleskill, NY 12043-4632

Mailing address

109 Park PL
Cobleskill, NY 12043-4632
Phone (518) 234-1512

Other identifiers 1

IdentifierTypeStateIssuer
C08089-8WOtherNYNYS WORKERS COMPENSATION

Other names 1

  • Ludwig Family Chiropractic, PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140425001394 NY Part B Supplier - Clinic/Group Practice 8224261375 Receives reassigned benefits from 1 practitioner
Practice locations: Cobleskill, NY

National Provider Directory

National Provider Directory

Locations

109 Park Pl
Ste 2
Cobleskill, NY 12043
Phone (518) 234-1512

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1962826081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PARK PL",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "120434632",
            "telephone_number": "518-234-1512",
            "fax_number": "518-234-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PARK PL",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "120434632",
            "telephone_number": "518-234-1512",
            "fax_number": "518-234-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "LUDWIG",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-234-1512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008098-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS WORKERS COMPENSATION",
            "identifier": "C08089-8W",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ludwig Family Chiropractic, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cobleskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.