Randall Bruce Miers, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104000720 Issued in VA

Practice address

1204 E Pembroke Ave
Hampton, VA 23669-3226

Phone

(757) 723-1496

Fax

(757) 723-4142

NPI assigned

Nov 1, 2006

Last updated

Jan 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine Care of Tidewater PCGroup PAC ID 9537266440, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Spine Care of Tidewater PC

  • Chiropractor
  • Newport News, VA
  • NPI 1790823292
  Medicare reassignment Care Compare group NPD
• Bayview Chiropractic Clinic LLC

  • Chiropractor
  • Hampton, VA
  • NPI 1588721724
  NPD (past) Authorized official
• Spine Care of Tidewater, P.C.

  • Chiropractor
  • Hampton, VA
  • NPI 1437296027
  NPD
• Strange Fruit Psychotherapy LLC

  dba Strange Fruit Psychotherapy

  • Clinical Social Worker
  • Hampton, VA
  • NPI 1932816048
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1164509220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 COINJOCK RUN",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236932737",
            "telephone_number": "757-867-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 E PEMBROKE AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236693226",
            "telephone_number": "757-723-1496",
            "fax_number": "757-723-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIERS",
        "first_name": "RANDALL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "188327",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid-Atlantic Family Services
• Mid-Atlantic Womens Care PLC
• Mid-Atlantic Womens Care PLC
• Jean Gilbert Midyette, MSN, MSA, RN, CDE
• Mie Transformative Solutions LLC
• Allen Ray Mikulencak, DDS
• Masoud Milani, D.M.D.
• Marshe Marie Milbourne-Jackson, LPC
• Jacquelyn Deborah Miles, MSW, CSAC
• Jennifer Miles, CPO

• Chiropractor in Hampton, VA
• Providers in Hampton, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.