Individual provider Active NPI

Jennifer Bulger, D.C.

  • Chiropractor
  • Charleston, WV
National Provider Identifier
1013210327
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
944 Issued in WV
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

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
944WVMDMental Health Counselor
011965NYMDClinical Child & Adolescent Psychologist
70011965NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southridge Advanced Chiropractic Chiropractor CurrentSince Mar 4, 2013 Accepting new patients
Charleston Chiropractic Company PLLC Chiropractor CurrentSince Feb 1, 2014 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.

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.

Verify at the official NPI Registry.