BRUCE E. BLAKELY, D.C., A MEDICAL CORPORATION - NPI 1851021612

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

On this page

About Bruce E. Blakely, D.c., A Medical Corporation NPPES

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

BRUCE E. BLAKELY, D.C., A MEDICAL CORPORATION (NPI 1851021612) is a healthcare organization registered as a chiropractor in San Diego, California and active in the NPI registry since June 2022. The organization lists Bruce Blakely, Bruce Blakely, D.c., as its authorized official.

NPPES Registry Identity

NPI1851021612

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameBRUCE E. BLAKELY, D.C., A MEDICAL CORPORATION

Location Address2878 CAMINO DEL RIO SSan Diego, CA 92108-3872

Mailing AddressPo Box 1176Cardiff, CA 92007-7176 · (858) 509-7999

Phone(619) 281-1999

Organization SubpartNo

Authorized OfficialBruce BlakelyBruce Blakely, D.c. · (619) 281-1999

Enumeration DateJune 14, 2022

NPPES CertifiedJune 14, 2022

✔ NPI 1851021612 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.

2878 CAMINO DEL RIO S, San Diego, CA 92108

Open in Google Maps ↗

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