Ken Eagle, D.C. BCN

Chiropractor · Old Bethpage, NY

Individual Active NPI

NPI number 1154435519

Practice location

3 Swan Ct
Old Bethpage, NY 11804-1307

Phone: (516) 381-9055

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NPI record

NPI: 1154435519
Entity type: Individual (Type 1)
Enumeration date: August 19, 2006
Last updated: November 18, 2025
Certified: November 18, 2025
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Chiropractor Primary	`111N00000X`	X008036-1	NY

Mailing address

PO Box 58
Old Bethpage, NY 11804-0058

Phone: (516) 381-9055

About Ken Eagle

Ken Eagle, D.C. BCN is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 3 Swan Ct, Old Bethpage, NY 11804-1307. The NPI number 1154435519 was assigned on August 19, 2006 and the record was last updated on November 18, 2025.

Ken Eagle lists a license in the registry: #X008036-1 (NY) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ken Eagle, D.C. BCN?

The NPI number is 1154435519.

What is the phone number of Ken Eagle?

The phone number listed for the practice location is (516) 381-9055.

Where is Ken Eagle located?

3 Swan Ct, Old Bethpage, NY 11804-1307.

What is the taxonomy code for Ken Eagle?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.