Organization Active NPI

University Spine and Injury

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1033873484
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
UNIVERSITY SPINE AND INJURY
Practice address
4907 NW 43Rd St Ste B
Gainesville, FL 32606-2007
Phone
(352) 792-0284
NPI assigned
Oct 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Ivi Bifsha
Title
Owner
Phone
(352) 792-0284

Specialties & licenses 1

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

Addresses

Primary practice location

4907 NW 43Rd St Ste B
Gainesville, FL 32606-2007

Mailing address

4907 NW 43Rd St Ste B
Gainesville, FL 32606-2007
Phone (352) 792-0284

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL University@bifshachiropractic.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

4907 NW 43rd St
Ste B
Gainesville, FL 32606
Phone (352) 451-4162

Practitioners & affiliated clinicians

Practitioners 1

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": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1033873484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 NW 43RD ST STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326062007",
            "telephone_number": "352-792-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 NW 43RD ST STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326062007",
            "telephone_number": "352-792-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY SPINE AND INJURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "BIFSHA",
        "authorized_official_first_name": "IVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-792-0284"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "University@bifshachiropractic.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4907 NW 43rd St Ste B",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326062007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.