Active NPI
Bruce James Haggart, D.C.
- Rehabilitation Chiropractor
- West Valley City, UT
National Provider Identifier
1982762050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 288382-1202
- Practice address
- 3646 S Redwood Rd
Suite W-1, Mail Box # 2
West Valley City, UT 84119-3800 - Phone
- (801) 746-4106
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 288382-1202 | UT | Primary |
Addresses
Primary practice location
3646 S Redwood Rd
Suite W-1, Mail Box # 2
West Valley City, UT 84119-3800
Mailing address
3646 S Redwood Rd
Suite W-1, Mail Box # 2
West Valley City, UT 84119-3800
Phone (801) 746-4106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 288382-1202 | UT | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982762050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3646 S REDWOOD RD",
"address_2": "SUITE W-1, MAIL BOX # 2",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841193800",
"telephone_number": "801-746-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3646 S REDWOOD RD",
"address_2": "SUITE W-1, MAIL BOX # 2",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841193800",
"telephone_number": "801-746-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGART",
"first_name": "BRUCE",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "UT",
"license": "288382-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.