Provider Demographics
NPI:1740369768
Name:BIGHAM, ALEXANDER CLAY (DC)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:CLAY
Last Name:BIGHAM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9726 E HIDDEN GREEN DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262-3612
Mailing Address - Country:US
Mailing Address - Phone:480-786-4644
Mailing Address - Fax:480-732-9948
Practice Address - Street 1:1076 W CHANDLER BLVD
Practice Address - Street 2:SUITE 109
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5225
Practice Address - Country:US
Practice Address - Phone:480-786-4644
Practice Address - Fax:480-732-9948
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5663111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU65479Medicare UPIN
AZDC5663Medicare ID - Type Unspecified