Bruce W. Bamforth, DC
Individual provider Active NPI Chiropractor · Springfield, OR
NPI 1992004733 · NPPES record last updated Apr 6, 2011
Key facts
- NPI
- 1992004733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1158 (OR)
- Practice address
- 87981 Tamora Dr
Springfield, OR 97478-9517 - Phone
- (541) 726-1978
- NPI assigned
- Mar 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1158 | OR | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1158 | OR | Yes |
Addresses
Primary practice location
87981 Tamora Dr
Springfield, OR 97478-9517
Mailing address
87981 Tamora Dr
Springfield, OR 97478-9517
Phone (541) 726-1978
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.