BRUCE COSTELLO DC
NPI 1184974651
Chiropractor - Rehabilitation in Conyers, GA

Active since September 12, 2012
2365 WALL ST SE, SUITE 100, CONYERS, GA 30013(770) 922-8187(770) 922-9107 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bruce Costello Dc NPPES

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

BRUCE COSTELLO DC (NPI 1184974651) is an individual rehabilitation provider in Conyers, Georgia, licensed in Georgia (CHIR002554) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1184974651
Entity TypeIndividualMale
Primary Taxonomy111NR0400X
Provider Legal NameBRUCE COSTELLOCredential: DC
Location Address2365 WALL ST SE, SUITE 100Conyers, GA 30013-2197
Mailing Address455 Riverbend DrMcdonough, GA 30252-4110 · (404) 354-3111
Fax(770) 922-9107
Sole ProprietorYes
Enumeration DateSeptember 12, 2012
NPI 1184974651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License Licensed in GA · CHIR002554
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
2365 WALL ST SE, Conyers, GA 30013

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
2365 WALL ST SE, SUITE 100
CONYERS, GA 30013
Massage Therapist
2365 WALL ST SE, SUITE 100
CONYERS, GA 30013
Counselor (Mental Health)
2365 WALL ST SE
CONYERS, GA 30013
Nursing Care
2365 WALL ST SE, SUITE 230
CONYERS, GA 30013
Chiropractor (Sports Physician)
2365 WALL ST SE, SUITE 100
CONYERS, GA 30013

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 Costello's NPI number?

The NPI number for Bruce Costello is 1184974651. It was assigned to this individual provider in the NPPES registry on September 12, 2012.

Where is Bruce Costello located?

Bruce Costello practices at 2365 Wall St SE Suite 100, Conyers, GA 30013. The listed phone number is (770) 922-8187.

What is Bruce Costello's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

When was this NPI record last updated?

The NPPES record for Bruce Costello was last updated on September 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.