Organization Active NPI

Cental Baldwin Chiropractic Center

  • Chiropractor
  • Robertsdale, AL
National Provider Identifier
1013177104
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1749 Issued in AL
Legal business name
CENTAL BALDWIN CHIROPRACTIC CENTER
Practice address
18557 Hammond St
Robertsdale, AL 36567-3629
Phone
(251) 947-9010
Fax
(251) 947-9011
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brian Edward Pierce, D.C.NPI 1245394303
Title
President
Phone
(251) 947-9010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1749 AL Primary

Addresses

Primary practice location

18557 Hammond St
Robertsdale, AL 36567-3629

Mailing address

PO Box 1044
Robertsdale, AL 36567-1044
Phone (251) 947-9010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161229000825 AL Part B Supplier - Clinic/Group Practice 9739250119 Receives reassigned benefits from 2 practitioners
Practice locations: Robertsdale, AL

National Provider Directory

National Provider Directory

Locations

18557 E Hammond St
Ste A
Robertsdale, AL 36567
Phone (251) 947-9010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1013177104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1044",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365671044",
            "telephone_number": "251-947-9010",
            "fax_number": "251-947-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18557 HAMMOND ST",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365673629",
            "telephone_number": "251-947-9010",
            "fax_number": "251-947-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTAL BALDWIN CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-947-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robertsdale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.