DR. BRUCE D MOLEOD (NPI# 1740212000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740212000 |
| Entity Type | Individual |
| Full Name | DR. BRUCE D MOLEOD |
| Credential | DC |
| Practice Address |
20355 Kelly Rd Detroit MI 48225-1206 |
| Mailing Address |
1158 Cottonwood Lake Orion MI 48360 |
| Practice Telephone | 3138399100 |
| Practice Fax Number | 3135279671 |
| Mailing Telephone | 2486935842 |
| Enumeration Date | 2006-07-07 |
| 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 | 1907 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 950H25224 | 01 |
| Street Address |
20355 KELLY RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48225-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750683959 | Simmons Chiropractic PC | Chiropractor | 20355 Kelly Rd, Detroit, MI 48225-1206 | 2010-11-22 |
| 1427380153 | Paul Allan Simmons | Chiropractor | 20355 Kelly Rd, Detroit, MI 48225-1206 | 2010-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639660046 | Ingrid Lewis | Registered Nurse | 20831 Ridgemont Rd, Harper Woods, MI 48225 | 2018-05-21 |
| 1699264598 | Jeffrey Brooks | Licensed Practical Nurse | 20415 Balfour St, Apt 4, Harper Woods, MI 48225 | 2018-05-07 |
| 1518373430 | Meah Khrysteana Tweh | Technician, Other | 20995 Bournemouth, Harper Woods, MI 48225 | 2014-07-11 |
| 1376878256 | Thomas Thurman | Social Worker | 20303 Kelly Rd., Detroit, MI 48225 | 2009-10-09 |
| 1376799320 | Ronald Brian Cornish | Massage Therapist | 20010 Kelly Rd, Harperwoods, MI 48225 | 2008-08-11 |
| 1811167562 | Family First Home Care LLC | Home Health | 19959 Vernier, Suite 1a, Harper Woods, MI 48225 | 2008-03-10 |
| 1922185982 | Odette Roye Haouilou | Dentist | 18000 Vernier, Harper Woods, MI 48225 | 2006-11-01 |
| 1831286236 | Gerald Joseph Fedon | Dentist | 20840 Vernier Rd, Harper Woods, MI 48225 | 2006-10-06 |
| 1790213759 | Horacio Enrique Falcon | Dentist | 20690 Vernier Rd, Harper Woods, MI 48225 | 2017-06-02 |
| 1609058585 | Patricia Ann Peet | Durable Medical Equipment & Medical Supplies | 19566 Kelly Rd, Harper Woods, MI 48225 | 2007-12-03 |
| Find all providers in zip 48225 | ||||
| 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 |
|---|---|---|---|---|
| 1497294672 | Shermia Lovely | Chiropractor | 15411 Edmore Dr, Detroit, MI 48205-1350 | 2017-02-21 |
| 1952782682 | Pur Wellness Pllc | Chiropractor | 14243 W 8 Mile Rd, Detroit, MI 48235-1502 | 2015-06-18 |
| 1093126872 | Reza Hafezi | Chiropractor | 17600 W. Warren Ave., Detroit, MI 48228 | 2014-05-14 |
| 1306165642 | Michigan Physical Therapy | Chiropractor | 7004 Michigan Ave, Detroit, MI 48210-2872 | 2010-05-26 |
| 1669643011 | Warren Chiropractic & Rehab Clinic P.C. | Chiropractor | 19201 W Warren Ave, Detroit, MI 48228-3393 | 2008-03-13 |
| 1649452277 | Jacob M Bell | Chiropractor | 530000 Breitenbush Rd, Detroit, OR 97342 | 2007-12-05 |
| 1942494117 | Raymond J Kaminski | Chiropractor | 10575 Morang Dr, Detroit, MI 48224-1880 | 2007-08-30 |
| 1083831978 | Winsen C Zouzal | Chiropractor | 15761 Mack Ave, Detroit, MI 48224-3479 | 2007-04-20 |
| 1093838278 | Luther Paul Rosemond | Chiropractor | 17701 Schoolcraft St, Detroit, MI 48227-1347 | 2007-04-10 |
| 1073679353 | Frank Luca Vesprini | Chiropractor | 12912 E 8 Mile Rd, Detroit, MI 48205-1142 | 2006-12-29 |
| Find all providers in DETROIT | ||||
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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.