Organization Active NPI

Brumfield Chiropractic Inc

Doing business as Brumfield Chiropractic

  • Chiropractor
  • Flowood, MS
National Provider Identifier
1114518982
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRUMFIELD CHIROPRACTIC INC
Doing business as
Brumfield Chiropractic
Practice address
1080 River Oaks Dr Ste B103
Flowood, MS 39232-7602
Phone
(601) 291-8362
Fax
(601) 586-8400
NPI assigned
Feb 3, 2021
Last updated
Feb 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Angela Dawn Reed
Title
Office Manager
Phone
(662) 295-7442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1080 River Oaks Dr Ste B103
Flowood, MS 39232-7602

Mailing address

1080 River Oaks Dr Ste B103
Flowood, MS 39232-7602
Phone (601) 291-8362

Other names 1

  • Brumfield Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210302001506 MS Part B Supplier - Clinic/Group Practice 3678989456 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgeland, MS

National Provider Directory

National Provider Directory

Locations

601 Renaissance Way
Ste C
Ridgeland, MS 39157
Phone (601) 291-8362

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1114518982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 RIVER OAKS DR STE B103",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327602",
            "telephone_number": "601-291-8362",
            "fax_number": "601-586-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 RIVER OAKS DR STE B103",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327602",
            "telephone_number": "601-291-8362",
            "fax_number": "601-586-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUMFIELD CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-295-7442"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brumfield Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brumfield Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.