MEDICARE: BON MEADE CHIROPRACTIC CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	111NR0200X	Radiology Chiropractor
2	111NT0100X	Thermography Chiropractor
3	111NX0800X	Orthopedic Chiropractor
4	111NX0100X	Occupational Health Chiropractor
5	111NP0017X	Pediatric Chiropractor
6	111NS0005X	Sports Physician Chiropractor
7	111NI0900X	Internist Chiropractor
8	111NN0400X	Neurology Chiropractor
9	111NR0400X	Rehabilitation Chiropractor
10	111NN1001X	Nutrition Chiropractor
11	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1265087225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BON MEADE CHIROPRACTIC CENTER, LLC

Provider Business Mailing Address
First Line	:	1635 BRODHEAD RD
Second Line	:
City	:	CORAOPOLIS
State	:	PA
Zip	:	15108-3842
Country	:	US
Telephone Number	:	724-457-1900
Fax Number	:	724-457-1901

Provider Business Practice Location Address
First Line	:	1635 BRODHEAD RD
Second Line	:
City	:	CORAOPOLIS
State	:	PA
Zip	:	15108-3842
Country	:	US
Telephone Number	:	724-457-1900
Fax Number	:	412-457-1901

Authorized Official
Title or Position	:	MEMBER
Name	:	WAYNE D LAWRENCE
Credential	:	DC
Telephone Number	:	724-457-1900

Provider Enumeration Date	:	08/07/2019
Last Update Date	:	01/21/2026

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Directions to “BON MEADE CHIROPRACTIC CENTER, LLC ” Practice Location

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