Individual provider Active NPI

Bruce Howard Weisbein, D.C.

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1972576965
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06025 Issued in IA
Practice address
3221 16TH Ave SW
Cedar Rapids, IA 52404-1434
Phone
(319) 396-2300
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A06025 IA Primary

Addresses

Primary practice location

3221 16TH Ave SW
Cedar Rapids, IA 52404-1434

Mailing address

3221 16TH Ave SW
Cedar Rapids, IA 52404-1434
Phone (319) 396-2300

Other identifiers 1

IdentifierTypeStateIssuer
0710944MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050415000777 IA Practitioner - Chiropractic 5294772604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
May accept Medicare assignment
Group practices
My Chiro LLCGroup PAC ID 9931355161, 8 clinicians

Practice addresses (Care Compare)

3221 16TH Ave SW
Cedar Rapids, IA 52404-1453
Phone (319) 294-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
My Chiro, L.L.C. Chiropractor CurrentSince Jan 1, 2012 Accepting new patients
Hawkeye Chiropractic Inc. Chiropractor PastSince Jan 22, 2016 Accepting new patients
Hawkeye Chiropractic Inc. Chiropractor Past Accepting new patients

Locations

3221 16th Ave SW
Cedar Rapids, IA 52404
Phone (319) 294-0000

6905 C Ave NE
Cedar Rapids, IA 52402
Phone (312) 929-4000

137 E Boyson Rd
Hiawatha, IA 52233
Phone (319) 294-0000

Organizations & group practices 3

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1972576965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 16TH AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524041434",
            "telephone_number": "319-396-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 16TH AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524041434",
            "telephone_number": "319-396-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBEIN",
        "first_name": "BRUCE",
        "middle_name": "HOWARD",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0710944",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.