Organization Active NPI

Bruce Chiropractic Center LLC

  • Chiropractor
  • Haddon HTS, NJ
National Provider Identifier
1972692747
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00648600 Issued in NJ
Legal business name
BRUCE CHIROPRACTIC CENTER LLC
Practice address
708 Station Avenue
Haddon HTS, NJ 08035-1647
Phone
(856) 547-6587
Fax
(856) 547-6995
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Jeffrey S Zuidema, DCNPI 1538192760
Title
DC Owner
Phone
(856) 547-6587

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 38MC00648600 NJ Primary

Addresses

Primary practice location

708 Station Avenue
Haddon HTS, NJ 08035-1647

Mailing address

708 Station Avenue
Bruce Chiropractic Center LLC
Haddon HTS, NJ 08035-1647
Phone (856) 547-6587

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070314000008 NJ Part B Supplier - Clinic/Group Practice 3375646243 Receives reassigned benefits from 1 practitioner
Practice locations: Haddon Heights, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1972692747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 STATION AVENUE",
            "address_2": "BRUCE CHIROPRACTIC CENTER LLC",
            "city": "HADDON HTS",
            "state": "NJ",
            "postal_code": "080351647",
            "telephone_number": "856-547-6587",
            "fax_number": "856-547-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 STATION AVENUE",
            "city": "HADDON HTS",
            "state": "NJ",
            "postal_code": "080351647",
            "telephone_number": "856-547-6587",
            "fax_number": "856-547-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "ZUIDEMA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DC OWNER",
        "authorized_official_telephone_number": "856-547-6587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00648600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon HTS, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.