BESPOKE CHIROPRACTIC LLC
NPI 1558024661
Chiropractor in Waterford, PA

Active since October 15, 2021
413 HIGH ST, WATERFORD, PA 16441(814) 796-3535(814) 796-3535 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 19, 2021, Oct 15, 2021 (2 updates tracked since 2021).

About Bespoke Chiropractic Llc NPPES

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

BESPOKE CHIROPRACTIC LLC (NPI 1558024661), doing business as Chiropractic Works, is a healthcare organization registered as a chiropractor in Waterford, Pennsylvania and active in the NPI registry since October 2021. The organization lists Benjamin Bowler, Owner, as its authorized official.

NPPES Registry Identity

NPI1558024661
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBESPOKE CHIROPRACTIC LLC
Location Address413 HIGH STWaterford, PA 16441-8301
Mailing AddressPo Box 457Waterford, PA 16441-0457 · (814) 796-3535 · Fax (814) 796-3535
Fax(814) 796-3535
Organization SubpartNo
Authorized OfficialBenjamin BowlerOwner · (814) 796-3535
Enumeration DateOctober 15, 2021
Last NPPES UpdateOctober 19, 20212 updates tracked since enumeration
NPPES CertifiedOctober 19, 2021
✔ NPI 1558024661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
413 HIGH ST, Waterford, PA 16441

Other Names 1

Doing Business AsChiropractic Works

Other Identifiers 1

OtherDC011649PA · Pennsylvania

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bespoke Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bespoke Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1477122794
413 HIGH ST
Waterford, PA 16441
(814) 796-3535
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bespoke Chiropractic LLC's NPI number?

The NPI number for Bespoke Chiropractic LLC is 1558024661. It was assigned to this organization in the NPPES registry on October 15, 2021. The provider is doing business as Chiropractic Works.

Where is Bespoke Chiropractic LLC located?

Bespoke Chiropractic LLC is located at 413 High St, Waterford, PA 16441. The listed phone number is (814) 796-3535.

What is Bespoke Chiropractic LLC's specialty?

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

Is Bespoke Chiropractic LLC enrolled in Medicare?

Yes. Bespoke Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bespoke Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Bespoke Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bespoke Chiropractic LLC was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.