DR. BRUCE B LEE (NPI# 1104998665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104998665 |
| Entity Type | Individual |
| Full Name | DR. BRUCE B LEE |
| Credential | DC |
| Practice Address |
2225a E. 7th Avenue Flagstaff AZ 86004-3737 |
| Mailing Address |
2225a East 7th Ave Flagstaff AZ 86004-3737 |
| Practice Telephone | 9287747165 |
| Mailing Telephone | 9287747165 |
| Mailing Fax Number | 9282683536 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2012-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5573 | AZ | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033687272 | Bruce Sangho Lee | Durable Medical Equipment & Medical Supplies | 534 Cardinal St, Brea, CA 92823-1005 | 2018-11-06 |
| 1316069867 | Bruce Lee | Chiropractor | 3911 N 10th St, Suite G, Mcallen, TX 78501-2036 | 2007-04-04 |
| 1528145166 | Bruce D Lee | Chiropractor | 3200 W 72nd Ave, Westminster, CO 80030-5477 | 2006-11-01 |
| 1568563807 | Bruce H Lee | Dentist | 181 S Gulling St, Portola, CA 96122-9609 | 2006-09-26 |
| 1982681011 | Bruce W Lee | Dentist | 20250 E Smoky Hill Rd Unit 5, Suite 202, Centennial, CO 80015-3118 | 2005-12-29 |
| 1205399391 | Bruce Lee | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3001 | 2019-04-07 |
| 1639674948 | Bruce Forbes Lee | Social Worker | 5255 Loughboro Rd Nw, Washington, DC 20016-2633 | 2018-03-28 |
| 1134518210 | Bruce Lee | Substance Abuse Rehabilitation Facility | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2015-01-13 |
| 1851631899 | Bruce Lee | Physical Therapist | 1920 Maple Ave, Lisle, IL 60532-2179 | 2013-02-28 |
| 1629148994 | Bruce Bernard Lee | Obstetrics & Gynecology | 966 Cass St, Suite 200, Monterey, CA 93940 | 2006-11-08 |
| Street Address |
2225A E. 7TH AVENUE |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| 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 |
|---|---|---|---|---|
| 1710308267 | Wesley Gregg | Chiropractor | 2201 N Gemini Dr, Flagstaff, AZ 86001-1637 | 2013-12-31 |
| 1962754390 | Shana Marie Gorman-dunn | Chiropractor | 2717 N 4th St Ste 100, Flagstaff, AZ 86004-1813 | 2012-10-09 |
| 1295085348 | Andrew J Gregg | Chiropractor | 1501 S Yale St Ste 250, Flagstaff, AZ 86001-7336 | 2012-09-17 |
| 1891015673 | The Chiropractor, Dr Weathersby, LLC | Chiropractor | 1585 S Plaza Way Ste 150, Flagstaff, AZ 86001-7156 | 2010-06-03 |
| 1891946398 | Lisa Christine Connor | Chiropractor | 201 S Leroux St, Flagstaff, AZ 86001-5627 | 2008-10-02 |
| 1942475561 | Back & Neck Center P.C. | Chiropractor | 2001 N. 4th St., Flagstaff, AZ 86004-2001 | 2008-04-24 |
| 1124218086 | Kymberlee Wilkens | Chiropractor | 715 N Humphreys St, Flagstaff, AZ 86001-3025 | 2007-07-26 |
| 1265658249 | Eric D Sanders | Chiropractor | 323 N Agassiz St, Flagstaff, AZ 86001-4604 | 2007-04-18 |
| 1912121583 | Dennis William Kirsten | Chiropractor | 1750 Railroad Springs Blvd, Suite 3, Flagstaff, AZ 86001 | 2007-04-12 |
| 1023131893 | Jeff Rex Alfred | Chiropractor | 2733 E Lakin Dr, Suite 3, Flagstaff, AZ 86004-3951 | 2007-04-09 |
| Find all providers in FLAGSTAFF | ||||
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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.