Individual provider Active NPI

Herbert Nolan Buckner, D.C.

  • Chiropractor
  • Madison, AL
National Provider Identifier
1154482461
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1947 Issued in AL
Practice address
7185 Highway 72 W Ste B
Madison, AL 35758-6650
Phone
(256) 895-0606
Fax
(256) 895-6400
NPI assigned
Dec 12, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1947 AL Primary

Addresses

Primary practice location

7185 Highway 72 W Ste B
Madison, AL 35758-6650

Mailing address

PO Box 1242
Madison, AL 35758-5242
Phone (256) 895-0606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080602000054 AL Practitioner - Chiropractic 7517036205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buckner Chiropractic Center IncGroup PAC ID 5294805362, 3 clinicians

Practice addresses (Care Compare)

2605 Old Fairway Rd
Suite 100
Huntsville, AL 35806-6401
Phone (256) 895-0606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1947ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Buckner Chiropractic Center, Inc. Chiropractor CurrentSince Oct 25, 2023 Accepting new patients
North Alabama Chiropractic Wellness Center, Inc Chiropractor Past Accepting new patients

Locations

2605 Old Fairway Rd
#100
Huntsville, AL 35806
Phone (256) 203-3934

7185 Highway 72 W
Ste B
Madison, AL 35758
Phone (256) 361-9004

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154482461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1242",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585242",
            "telephone_number": "256-895-0606",
            "fax_number": "256-895-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7185 HIGHWAY 72 W STE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357586650",
            "telephone_number": "256-895-0606",
            "fax_number": "256-895-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "HERBERT",
        "middle_name": "NOLAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.