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DR. BRUCE B LEE DC
NPI 1104998665
Chiropractor in Flagstaff, AZ

Active since November 13, 2006Accepts Medicare Assignment
2225A E. 7TH AVENUE, FLAGSTAFF, AZ 86004(928) 774-7165 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bruce B Lee Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRUCE B LEE DC (NPI 1104998665) is an individual chiropractor in Flagstaff, Arizona, licensed in Arizona (5573) and active in the NPI registry since November 2006. He is a graduate of Los Angeles College Of Chiropractic (1996).

NPPES Registry Identity

NPI1104998665
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRUCE B LEECredential: DC
Location Address2225A E. 7TH AVENUEFlagstaff, AZ 86004-3737
Mailing Address2225a East 7th AveFlagstaff, AZ 86004-3737 · (928) 774-7165 · Fax (928) 268-3536
Phone(928) 774-7165
Sole ProprietorYes
Medical School CMSLos Angeles College Of ChiropracticGraduated 1996
Enumeration DateNovember 13, 2006
Last NPPES UpdateJanuary 11, 2012
✔ NPI 1104998665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 5573
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2225A E. 7TH AVENUE, Flagstaff, AZ 86004
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Other Identifiers 2

Medicare UPINU73091AZ
Medicare ID-Type Unspecified25023AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bruce B Lee Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597662205
PECOS Enrollment IDI20031218000826

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
508 services32 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Lee's NPI number?

The NPI number for Bruce Lee is 1104998665. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Bruce Lee located?

Bruce Lee practices at 2225A E. 7th Avenue, Flagstaff, AZ 86004. The listed phone number is (928) 774-7165.

What is Bruce Lee's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Bruce Lee enrolled in Medicare?

Yes. Bruce Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bruce Lee was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.