Active NPI
Bruce L Gingrich, D.C.
- Chiropractor
- Palmyra, PA
National Provider Identifier
1992712152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC006563L
- Practice address
- 1317 E Main St
Palmyra, PA 17078-9508 - Phone
- (717) 838-6373
- Fax
- (717) 838-7837
- NPI assigned
- Aug 1, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC006563L | PA | Primary |
Addresses
Primary practice location
1317 E Main St
Palmyra, PA 17078-9508
Mailing address
1317 E Main St
Palmyra, PA 17078-9508
Phone (717) 838-6373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GE792575 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110722000651 | PA | Practitioner - Chiropractic | 3476721127 | Practice locations: Palmyra, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1317 E Main St
Palmyra, PA 17078-9508
Phone (717) 838-6373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992712152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 E MAIN ST",
"city": "PALMYRA",
"state": "PA",
"postal_code": "170789508",
"telephone_number": "717-838-6373",
"fax_number": "717-838-7837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 E MAIN ST",
"city": "PALMYRA",
"state": "PA",
"postal_code": "170789508",
"telephone_number": "717-838-6373",
"fax_number": "717-838-7837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINGRICH",
"first_name": "BRUCE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC006563L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "GE792575",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palmyra, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.