Active NPI
Jennifer Bulger, D.C.
- Chiropractor
- Charleston, WV
National Provider Identifier
1013210327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 944
- Practice address
- 713 Bigley Ave
Charleston, WV 25302-3356 - Phone
- (304) 344-2225
- Fax
- (304) 344-2226
- NPI assigned
- Dec 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 70011965 | NY | |
| Chiropractor | 111N00000X | 944 | WV | Primary |
Addresses
Primary practice location
713 Bigley Ave
Charleston, WV 25302-3356
Mailing address
713 Bigley Ave
Charleston, WV 25302-3356
Phone (304) 344-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130516000668 | WV | Practitioner - Chiropractic | 5890971725 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
713 Bigley Ave
Charleston, WV 25302-3356
Phone (304) 344-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 944 | WV | MD | Mental Health Counselor |
| 011965 | NY | MD | Clinical Child & Adolescent Psychologist |
| 70011965 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southridge Advanced Chiropractic | Chiropractor | Current | Accepting new patients |
| Charleston Chiropractic Company PLLC | Chiropractor | Current | Accepting new patients |
Locations
100 Peyton Way
Ste 201
Charleston, WV 25309
Phone (304) 720-2005
713 Bigley Ave
Charleston, WV 25302
Phone (304) 344-2225
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Charleston, WV
- NPI 1194147330
-
- Chiropractor
- Charleston, WV
- NPI 1699960351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1013210327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 BIGLEY AVE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253023356",
"telephone_number": "304-344-2225",
"fax_number": "304-344-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 BIGLEY AVE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253023356",
"telephone_number": "304-344-2225",
"fax_number": "304-344-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULGER",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-08",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "70011965",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.