DR. NATHAN BRYAN ROBERTS (NPI# 1598079873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598079873 |
| Entity Type | Individual |
| Full Name | DR. NATHAN BRYAN ROBERTS |
| Credential | DC |
| Practice Address |
125 W Monroe St Bangor MI 49013-1332 |
| Mailing Address |
Po Box 124 Bangor MI 49013-0124 |
| Practice Telephone | 2694272800 |
| Practice Fax Number | 2696212556 |
| Mailing Telephone | 7348459064 |
| Mailing Fax Number | 7345574000 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2017-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | NR009713 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1598079873 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821455056 | Nathan Thomas Roberts | Specialist/Technologist | 501 W Laurel Ave, Pen Argyl, PA 18072-1052 | 2016-01-19 |
| 1225089626 | Nathan L Roberts | Family Medicine | 301 E. Southline Road, Tuscola, IL 61953 | 2006-05-12 |
| 1811519556 | Nathan Roberts | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., B1-380 Taubman Center, Ann Arbor, MI 48109-5305 | 2020-05-15 |
| 1629533880 | Nathan Roberts | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2019-02-01 |
| 1114405438 | Nathan Roberts | Physician Assistant | 2400 17th St, Columbus, IN 47201-5351 | 2018-07-30 |
| 1487172813 | Nathan Roberts | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2017-09-06 |
| 1841728110 | Nathan Lee Roberts | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-05-31 |
| 1871955427 | Nathan Roberts | Emergency Medicine | 400 S Santa Fe Ave, Salina, KS 67401 | 2016-03-23 |
| 1972884757 | Nathan J Roberts | Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2011-09-07 |
| 1942526165 | Nathan Roberts | Urology | 19415 Deerfield Ave, Suite 112, Lansdowne, VA 20176-8452 | 2010-04-13 |
| Street Address |
125 W MONROE ST |
| City | BANGOR |
| State | MI |
| Zip Code | 49013-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326586918 | Bh Chiropractic Clinics, Pllc | Chiropractor | 125 W Monroe St, Bangor, MI 49013-1332 | 2017-02-03 |
| 1891230983 | Bh Chiropractic Clinics, Pllc | Chiropractor | 125 W Monroe St, Bangor, MI 49013-1332 | 2016-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237051 | Twin Doves I LLC | Community Based Residential Treatment Facility, Mental Illness | 48617 36th Ave., Bangor, MI 49013 | 2020-05-25 |
| 1629252895 | Van Buren Cass District Health Department | Community/Behavioral Health | 803 West Arlington, Bangor Health Center, Bangor, MI 49013 | 2007-12-24 |
| 1245426808 | Karen Lee Replogle | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2007-09-18 |
| 1518152560 | Virginia Douglas | Registered Nurse | 52101 34 Avenue, Bangor, MI 49013 | 2007-09-12 |
| 1992818835 | Intercare Community Health Network | Clinic/Center | 308 Charles St, Bangor, MI 49013 | 2006-08-16 |
| 1326058512 | Intercare Community Health Network | Clinic/Center | 50 Industrial Park Dr, Bangor, MI 49013 | 2006-08-09 |
| 1962439950 | Michele E Allen | Dentist | 308 Charles Street, Bangor, MI 49013 | 2006-06-27 |
| 1366051898 | Kasie M Broe | Social Worker | 52101 34th Avenue, Bangor, MI 49013 | 2020-07-30 |
| 1255985966 | Audria Gilliland | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2019-07-31 |
| 1417319476 | Terri Lynn Harbin Ilg | Dental Hygienist | 308 Charles Street, Intercare Community Health Network, Bangor, MI 49013 | 2016-03-28 |
| Find all providers in zip 49013 | ||||
| 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 |
|---|---|---|---|---|
| 1174096309 | Vanidestine Chiropractic, Inc | Chiropractor | 336 Mount Hope Ave Ste 11, Bangor, ME 04401-4236 | 2019-01-10 |
| 1205306503 | Daniel Luigi Comunale | Chiropractor | 622 Fox Gap Rd, Bangor, PA 18013-5833 | 2018-11-29 |
| 1699264143 | My Life Well Adjusted LLC | Chiropractor | 268 State St Ste 1, Bangor, ME 04401-5417 | 2018-05-09 |
| 1558699314 | Rickie Lane Ames | Chiropractor | 804 Stillwater Ave, Bangor, ME 04401-3614 | 2009-12-05 |
| 1912167057 | Healthsource of Bangor S C | Chiropractor | 1505 Commercial St, Bangor, WI 54614-0410 | 2008-06-12 |
| 1174652291 | Jack Anthony Manzella | Chiropractor | 1505 Commercial St., Bangor Family Chiropractic, Bangor, WI 54614 | 2007-03-05 |
| 1154469047 | Richard J Thomas | Chiropractor | 804 Stillwater Avenue, Bangor, ME 04401 | 2007-02-02 |
| 1164438917 | Robin William Gooden | Chiropractor | 16 Penn Plz, Ste 22, Bangor, ME 04401-3620 | 2006-08-01 |
| 1912911371 | Richard J Weaver | Chiropractor | 83 Bangor Junction Road, Blue Valley Plaza, Bangor, PA 18013 | 2006-07-28 |
| 1841219029 | Richard M. Bruns | Chiropractor | 371 Union St, Bangor, ME 04401-4504 | 2006-07-19 |
| Find all providers in BANGOR | ||||
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| 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.