BRYN ALEXA GILLOW (NPI# 1306927306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306927306 |
| Entity Type | Individual |
| Full Name | BRYN ALEXA GILLOW |
| Credential | D.C. |
| Practice Address |
Hc 1 Box 10 Brodheadsville PA 18322-9660 |
| Mailing Address |
Hc1 Box 10 Brodheadsville PA 18322-9660 |
| Practice Telephone | 5709922929 |
| Practice Fax Number | 5709923221 |
| Mailing Telephone | 5709922929 |
| Mailing Fax Number | 5709923221 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC007914L | PA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | FIRST PRIORITY | 819689 | 01 |
| PA | AMERIHEALTH | 1783617 | 01 |
| PA | GHI | 9701133 | 01 |
| PA | INDEP PERSONAL CHOICE | 2622014000 | 01 |
| Street Address |
HC 1 BOX 10 |
| City | BRODHEADSVILLE |
| State | PA |
| Zip Code | 18322-9660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184779621 | Life Is Good Chiropractic | Chiropractor | Hc 1 Box 10, Brodheadsville, PA 18322-9660 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1275165136 | Jennifer Pagan | Specialist/Technologist | 575 Marion Lane, Brodheadsville, PA 18322 | 2020-02-09 |
| 1922577634 | Kristen Rudelitch | Pharmacist | 924 Weir Lake Rd, Brodheadsville, PA 18322 | 2018-11-26 |
| 1295204915 | Dale A. Mcfarland | Pharmacist | Rt 209 & Weir Lake Road, Brodheadsville, PA 18322 | 2018-11-26 |
| 1831640770 | Marina Ann Reggetto-irizarry | Physician Assistant | 111 Route 715 Ste 102, Brodheadsville, PA 18322 | 2016-10-15 |
| 1144770033 | Joseph Keglovits IIi | Pharmacist | 1707 Route 209, Brodheadsville, PA 18322 | 2016-10-04 |
| 1629454624 | Katherine Sparrow | Chiropractor | 1807 Route 209, Brodheadsville, PA 18322 | 2015-08-03 |
| 1740548049 | Catherine A Chincola | Health Educator | Route 209 and Weir Lake Road, Brodheadsville, PA 18322 | 2012-04-25 |
| 1396036679 | Doris M Lane | Pharmacist | Rt S 209 & 115, Brodheadsville, PA 18322 | 2011-04-21 |
| 1982995361 | Richard C Quigley | Pharmacist | Routes 209/115, Brodheadsville, PA 18322 | 2011-04-20 |
| Find all providers in zip 18322 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830111 | Samantha J Snyder | Chiropractor | 1750 Route 209, Brodheadsville, PA 18322-7814 | 2018-05-08 |
| 1629454624 | Katherine Sparrow | Chiropractor | 1807 Route 209, Brodheadsville, PA 18322 | 2015-08-03 |
| 1427207307 | G & A Enterprises PC | Chiropractor | Rt 209 Regency Plaza, Ste 9, Brodheadsville, PA 18322-1221 | 2008-09-16 |
| 1790730224 | David J. Murawski | Chiropractor | 2232 Route 115, Brodheadsville, PA 18322-0026 | 2006-05-23 |
| 1679535090 | Michael S. Frigiola | Chiropractor | 110 Shafer Dr, Unit 101, Brodheadsville, PA 18322-7154 | 2006-04-03 |
| 1417921099 | Lawrence Albert Wood V | Chiropractor | 307 Village Edge Dr, Brodheadsville, PA 18322 | 2006-02-13 |
| 1124023114 | Brodheadsville Chiropractic | Chiropractor | 6 Pilgrim Way, Brodheadsville, PA 18322-0447 | 2005-06-16 |
| 1497750483 | Robert J. Vanmetter | Chiropractor | 134 Pilgrim Way, Brodheadsville, PA 18322 | 2005-06-16 |
| 1174989370 | Michael Patrick Turkos | Chiropractor | 134 Pilgrim Way, Brodheadsville, PA 18322-0447 | 2016-01-05 |
| 1629441787 | Allison Marie Stafford | Chiropractor | 1807 Route 209, Brodheadsville, PA 18322-7105 | 2015-11-10 |
| Find all providers in BRODHEADSVILLE | ||||
| City | BRODHEADSVILLE |
| Zip Code | 18322 |
Please comment or provide details below to improve the information on BRYN ALEXA GILLOW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.