MEDICARE: BRUCE HAL KIRSCHENBERG DC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH4463	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649240771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE HAL KIRSCHENBERG DC

Provider Business Mailing Address
First Line	:	36 NE 2ND AVE
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-3504
Country	:	US
Telephone Number	:	954-428-7500
Fax Number	:	954-428-7502

Provider Business Practice Location Address
First Line	:	36 NE 2ND AVE
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-3504
Country	:	US
Telephone Number	:	954-428-7500
Fax Number	:	954-428-7502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	07/21/2010

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Directions to “ BRUCE HAL KIRSCHENBERG DC” Practice Location

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