GREGORY BIDLACK DC NPI 1336297993

NPI Information

NPI: 1336297993
Provider Name: GREGORY BIDLACK, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
18775 N REEMS RD
STE 360
SURPRISE, AZ
ZIP 85374
Phone: (623) 544-0200
Get Directions

Gregory Bidlack, DC is a chiropractor in Surprise, AZ. The provider is 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. Gregory Bidlack, DC NPI is 1336297993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18775 N REEMS RD
STE 360
SURPRISE, AZ
ZIP 85374-647
Phone: (623) 544-0200

The enumeration date for this NPI number is 1/8/2007 and was last updated on 9/29/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		3222	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AZ0944530	OTHER	ARIZONA	BCBS
2	T41400	MEDICARE UPIN	ARIZONA
3	103434	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »