Dr. Bruce Jordan Fellows
Chiropractor Orthopedic Specialist
940 Belmont St Rm C-208
Brockton
, Massachusetts 02301-5596
Dr. Bruce Jordan Fellows
Chiropractor Orthopedic Specialist
940 Belmont St Rm C-208
Brockton
, Massachusetts 02301-5596
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About
Features
Specialties
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Dr. Bruce Jordan Fellows
- 940 Belmont St Rm C-208
- Brockton, MA
- Zip : 02301-5596
- Phone :
Second Address
- Dr. Bruce Jordan Fellows
- 940 Belmont St Rm C-208
- Brockton, MA
- Zip : 02301-5596
- Phone : (203) 838-9795
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | 002036 | CT |
National Provider Identifier
| NPI | 1013469113 |
|---|---|
| Provider Name | Dr. Bruce Jordan Fellows |
| First Address | Brockton, MA 02301-5596 |
| Second Address | Brockton, MA 02301-5596 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2016 |
| Last Update Date | 16/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.