Organization Active NPI

Muncy Spinal Institute LLC

Doing business as Muncy Family Chiropractic

  • Chiropractor
  • Bristol, VA
National Provider Identifier
1144367046
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556284 Issued in VA
Legal business name
MUNCY SPINAL INSTITUTE LLC
Doing business as
Muncy Family Chiropractic
Practice address
300 Moore St
Suite B
Bristol, VA 24201-4337
Phone
(276) 591-5448
Fax
(276) 591-5447
NPI assigned
Jan 31, 2007
Last updated
Dec 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Ruby Muncy
Title
Owner Manager
Phone
(276) 591-5448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556284 VA Primary

Addresses

Primary practice location

300 Moore St
Suite B
Bristol, VA 24201-4337

Mailing address

300 Moore St
Bristol, VA 24201-4495
Phone (276) 591-5448

Other identifiers 3

IdentifierTypeStateIssuer
146646OtherVABLUE CROSS BLUE SHIELD
010133807MedicaidVA
P00311241OtherVARAILROAD MEDICARE

Other names 1

  • Muncy Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250108003396 VA Part B Supplier - Clinic/Group Practice 8022546712 Receives reassigned benefits from 1 practitioner
Practice locations: Bristol, VA

National Provider Directory

National Provider Directory

Locations

300 Moore St
Bristol, VA 24201
Phone (276) 591-5448

300 Moore St
Ste B
Bristol, VA 24201
Phone (276) 591-5448

Practitioners & affiliated clinicians

Practitioners 5

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1144367046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOORE ST",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014495",
            "telephone_number": "276-591-5448",
            "fax_number": "276-591-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOORE ST",
            "address_2": "SUITE B",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014337",
            "telephone_number": "276-591-5448",
            "fax_number": "276-591-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNCY SPINAL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "MUNCY",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "276-591-5448"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "146646",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010133807",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00311241",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muncy Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.