Active NPI
Brian Culliney, DC
- Chiropractor
- Lowell, MA
National Provider Identifier
1003030867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1833
- Practice address
- 410 School St
Lowell, MA 01851-1341 - Phone
- (978) 458-6620
- Fax
- (978) 458-6671
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1833 | MA | Primary |
Addresses
Primary practice location
410 School St
Lowell, MA 01851-1341
Mailing address
PO Box 517
Needham Heights, MA 02494-0011
Phone (781) 559-8700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y36311 | Other | MA | BCBS |
| 407328 | Other | MA | TUFTS |
| 350324 | Other | MA | HARVARD PILGRIM HEALTHCAR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1833 | MA | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1003030867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 517",
"city": "NEEDHAM HEIGHTS",
"state": "MA",
"postal_code": "024940011",
"telephone_number": "781-559-8700",
"fax_number": "781-559-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 SCHOOL ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018511341",
"telephone_number": "978-458-6620",
"fax_number": "978-458-6671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLINEY",
"first_name": "BRIAN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1833",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y36311",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "407328",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "350324",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.