Gregory Scott Bobal, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011556 Issued in PA

Practice address

8468 Allentown Pike Ste 4
Blandon, PA 19510-9473

Phone

(610) 916-2425

NPI assigned

Jul 8, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Performance Health Clinics of Tampa, LLC

  • Chiropractor
  • Tampa, FL
  • NPI 1225609803
  NPD Authorized official

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1972121853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 MANZANITA DR",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180629355",
            "telephone_number": "610-248-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8468 ALLENTOWN PIKE STE 4",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "195109473",
            "telephone_number": "610-916-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBAL",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berks County Recovery Transitional Services, LLC
• Berks Family Physicians, P.C.
• Blandon Community Ambulance Assn Inc.
• Blandon Pharmacy LLC
• Gaynelle Clarette Bloh, BCBA
• Kim Marie Burt, M.S.
• Matthew J Cambria, DMD
• Yi Hsuan Chu
• Kellie Cirulli, RN-BC
• Concern-Professional Services for Children, Youth & Families

• Chiropractor in Blandon, PA
• Providers in Blandon, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.