Active NPI
Bruce Chiropractic Inc.
- Chiropractor
- Ball Ground, GA
National Provider Identifier
1992942288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR006495
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Chiropractor
- Ball Ground, GA
- NPI 1538291794
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.