Individual provider Active NPI

Alexis John Labarbera, D.C.

  • Chiropractor
  • Bedford, VA
National Provider Identifier
1063449304
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555936 Issued in VA
Practice address
301 W Main St
Bedford, VA 24523-1902
Phone
(540) 586-1105
Fax
(540) 586-1194
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555936 VA Primary

Addresses

Primary practice location

301 W Main St
Bedford, VA 24523-1902

Mailing address

301 W Main St
Bedford, VA 24523-1902
Phone (540) 586-1105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071217000756 VA Practitioner - Chiropractic 9335239136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuck Chiropractic CorporationGroup PAC ID 0547222739, 10 clinicians

Practice addresses (Care Compare)

301 W Main St
Bedford, VA 24523-1902
Phone (540) 586-1105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104555936VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tuck Chiropractic Corporation Chiropractor CurrentSince Sep 30, 2011 Accepting new patients
Tuck Chiropractic Corporation PastSince Dec 15, 2024 Accepting new patients
Labarbera Family Chiropractic, PC Chiropractor PastSince Oct 1, 2007 Accepting new patients

Locations

301 W Main St
Bedford, VA 24523
Phone (540) 586-1105

620 N Main St
Ste 202
Blacksburg, VA 24060

1212 Corporate Cir SW
Ste 100
Roanoke, VA 24018

60 Summerfield Ct
#101
Roanoke, VA 24019
Phone (540) 890-1444

Organizations & group practices 3

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1063449304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231902",
            "telephone_number": "540-586-1105",
            "fax_number": "540-586-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231902",
            "telephone_number": "540-586-1105",
            "fax_number": "540-586-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABARBERA",
        "first_name": "ALEXIS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.