Active NPI
Muncy Spinal Institute LLC
Doing business as Muncy Family Chiropractic
- Chiropractor
- Bristol, VA
National Provider Identifier
1144367046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556284
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146646 | Other | VA | BLUE CROSS BLUE SHIELD |
| 010133807 | Medicaid | VA | |
| P00311241 | Other | VA | RAILROAD MEDICARE |
Other names 1
- Muncy Family Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Bristol, VA
- NPI 1306861984
-
- Nurse Practitioner
- Bristol, VA
- NPI 1023673407
-
- Physician Assistant
- Bristol, VA
- NPI 1386122901
-
- Chiropractor
- Bristol, VA
- NPI 1730097908
-
- Chiropractor
- Kingsport, TN
- NPI 1922696780
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.