Organization Active NPI

Bruce Chiropractic Inc.

  • Chiropractor
  • Ball Ground, GA
National Provider Identifier
1992942288
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006495 Issued in GA
Legal business name
BRUCE CHIROPRACTIC INC.
Practice address
255 Gilmer Ferry Rd
Ball Ground, GA 30107-2908
Phone
(770) 737-5200
Fax
(678) 454-5252
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Dr. Jerimy Jerome Bruce, D.C.NPI 1538291794
Title
President
Phone
(770) 737-5200

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 CHIR006495 GA Primary

Addresses

Primary practice location

255 Gilmer Ferry Rd
Ball Ground, GA 30107-2908

Mailing address

PO Box 158
Ball Ground, GA 30107-0158
Phone (770) 737-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090128000486 GA Part B Supplier - Clinic/Group Practice 9234293754 Receives reassigned benefits from 1 practitioner
Practice locations: Ball Ground, GA

National Provider Directory

National Provider Directory

Locations

9970 Ball Ground Hwy
Ball Ground, GA 30107
Phone (770) 737-5200

255 Gilmer Ferry Rd
Ball Ground, GA 30107
Phone (770) 735-6755

Practitioners & affiliated clinicians

Practitioners 1

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": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1992942288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301070158",
            "telephone_number": "770-737-5200",
            "fax_number": "678-454-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 GILMER FERRY RD",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301072908",
            "telephone_number": "770-737-5200",
            "fax_number": "678-454-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "JERIMY",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-737-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ball Ground, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.