Active NPI
Gary Bauer Garst, DC
- Chiropractor
- Roanoke, VA
National Provider Identifier
1992816672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000405
- Practice address
- 3609 Brandon Ave SW
Roanoke, VA 24018-1525 - Phone
- (540) 297-3440
- Fax
- (540) 297-9313
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 0104000405 | VA | Primary |
Addresses
Primary practice location
3609 Brandon Ave SW
Roanoke, VA 24018-1525
Mailing address
3609 Brandon Ave SW
Roanoke, VA 24018-1525
Phone (540) 297-3440
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE3294 | Other | VA | RAILROAD MEDICARE |
| 142884 | Other | VA | ANTHEM |
| 250139 | Other | SOUTHERN HEALTH | |
| 5897389 | Other | GHI | |
| 1992816672 | Medicaid | VA | |
| 4632907 | Other | AETNA | |
| 2089536 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3609 Brandon Ave SW
Roanoke, VA 24018-1525
Phone (540) 297-3440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Orthopedic Chiropractor
- Roanoke, VA
- NPI 1437504354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467849600000",
"number": "1992816672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3609 BRANDON AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240181525",
"telephone_number": "540-297-3440",
"fax_number": "540-297-9313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3609 BRANDON AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240181525",
"telephone_number": "540-297-3440",
"fax_number": "540-297-9313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARST",
"first_name": "GARY",
"middle_name": "BAUER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2016-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE3294",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "142884",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "250139",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5897389",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992816672",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4632907",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2089536",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.