DR. BRUCE DAVID BECKER (NPI# 1174623672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174623672 |
| Entity Type | Individual |
| Full Name | DR. BRUCE DAVID BECKER |
| Credential | D.C. |
| Practice Address |
11862 Sunrise Valley Dr Suite 101 Reston VA 20191-3302 |
| Practice Telephone | 7036205808 |
| Mailing Telephone | 7036205808 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104000521 | VA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MAMSI INS CO. | 40177 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104168400 | Bruce Harlan Becker | Ophthalmology | 5365 N Powers Ferry Rd Nw, Atlanta, GA 30327-4627 | 2013-03-25 |
| 1770745374 | Bruce Farrell Becker | Dentist | 556 N Oak Road, Light House Dental, Plymouth, IN 46563-1664 | 2008-06-26 |
| 1033113808 | Bruce Carl Becker II | Family Medicine | 500 W 4th St, Odessa, TX 79761-5001 | 2005-06-09 |
| 1811168545 | Bruce Robert Becker | Social Worker | 16 Pompton Ave, Pompton Lakes, NJ 07442-1895 | 2008-03-20 |
| 1720195340 | Bruce A Becker | Nurse Practitioner | 550 University Blvd, Indianapolis, IN 46202-5149 | 2006-08-23 |
| 1891719712 | Bruce M Becker | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2006-07-26 |
| 1346282589 | Bruce Becker | Physical Medicine & Rehabilitation | 105 W 8th Ave, Spokane, WA 99204-2302 | 2006-06-12 |
| 1376584433 | Bruce B Becker | Specialist | 5363 Balboa Blvd, Suite 246, Encino, CA 91316-2805 | 2006-06-09 |
| 1255312104 | Bruce Becker | Internal Medicine | 20 Hope Ave, Ste G10, Waltham, MA 02453-2721 | 2005-11-08 |
| 1326037227 | Bruce A Becker | Internal Medicine | 200 Madison Ave, Suite 2c, Elmira, NY 14901-3218 | 2005-10-14 |
| Street Address |
11862 SUNRISE VALLEY DR SUITE 101 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| 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 |
|---|---|---|---|---|
| 1669934527 | Soheil Christopher Rahbar | Chiropractor | 11503 Sunset Hills Rd, Reston, VA 20190-4704 | 2019-04-01 |
| 1063998417 | Va Total Rehab, LLC | Chiropractor | 1760 Reston Pkwy Ste 310, Reston, VA 20190-3359 | 2018-07-18 |
| 1407176472 | Rebecca Ann Buffone | Chiropractor | 11707 Bowman Green Dr, Reston, VA 20190-3501 | 2010-06-01 |
| 1770600256 | Alternative Care Chiropractic & Rehabilitation Center Inc | Chiropractor | 1810 Michael Faraday Dr, Suite 202, Reston, VA 20190-5353 | 2007-03-22 |
| 1942350624 | Christopher Alan Bruno | Chiropractor | 11445 Isaac Newton Sq S, Reston, VA 20190-5019 | 2007-01-12 |
| 1730266644 | Nicole Danielle Richarson-sicre | Chiropractor | 11790 Baron Cameron Ave, Suite J, Reston, VA 20190-5872 | 2006-11-01 |
| 1245317148 | Alexandre Michael Sicre | Chiropractor | 11790 Baron Cameron Ave Ste J, Reston, VA 20190-5873 | 2006-11-01 |
| 1063508919 | Ronald Stephan Kulik II | Chiropractor | 11319 Sunset Hills Rd, Reston, VA 20190-5205 | 2006-10-05 |
| 1194824250 | Amanda Denise Ngui-yen | Chiropractor | 11495 Sunset Hills Rd, #100, Reston, VA 20190-5256 | 2006-09-22 |
| 1245336007 | Devinder Paul Singh | Chiropractor | 1609 Washington Plz N Ste B, Reston, VA 20190-4346 | 2006-09-16 |
| Find all providers in RESTON | ||||
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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.