Organization Active NPI

Brothers Buck PC

  • Chiropractor
  • Longmont, CO
National Provider Identifier
1124667431
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BROTHERS BUCK PC
Practice address
600 S Airport Rd Unit CC
Longmont, CO 80503-6407
Phone
(303) 776-6767
NPI assigned
Jan 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Dr. Benjamin Morgan Buck, DCNPI 1487040291
Title
Doctor of Chiropractic
Phone
(303) 776-6767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

600 S Airport Rd Unit CC
Longmont, CO 80503-6407

Mailing address

600 S Airport Rd Unit CC
Longmont, CO 80503-6407
Phone (303) 776-6767

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201015002799 CO Part B Supplier - Clinic/Group Practice 8426478298 Receives reassigned benefits from 3 practitioners
Practice locations: Boulder, CO; Longmont, CO

National Provider Directory

National Provider Directory

Locations

600 S Airport Rd
Unit Cc
Longmont, CO 80503
Phone (303) 776-6767

600 S Airport Rd
Unit C
Longmont, CO 80503
Phone (303) 776-6767

Practitioners & affiliated clinicians

Practitioners 6

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": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1124667431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S AIRPORT RD UNIT CC",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036407",
            "telephone_number": "303-776-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S AIRPORT RD UNIT CC",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036407",
            "telephone_number": "303-776-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS BUCK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "303-776-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.