Individual provider Active NPI

Abel C Borromeo V, DC

  • Chiropractor
  • Winchester, VA
National Provider Identifier
1174572283
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
649 Issued in WV
Practice address
125 Prosperity Dr
Suite 600
Winchester, VA 22602
Phone
(540) 868-0144
Fax
(540) 868-0166
NPI assigned
May 8, 2006
Last updated
Jul 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 649 WV Primary

Addresses

Primary practice location

125 Prosperity Dr
Suite 600
Winchester, VA 22602

Mailing address

125 Prosperity Dr
Suite 600
Winchester, VA 22602-5385
Phone (540) 868-0144

Other identifiers 1

IdentifierTypeStateIssuer
227306OtherVAANTHEM BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080814000671 VA Practitioner - Chiropractic 1456351899

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

125 Prosperity Dr
Suite 600
Winchester, VA 22602-5387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
649WVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Place Rehab Inc PastSince Feb 1, 2006 Accepting new patients
Virginia Integrative Medical LLC PastSince Jan 1, 2016 Accepting new patients

Organizations & group practices 3

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1174572283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PROSPERITY DR",
            "address_2": "SUITE 600",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226025385",
            "telephone_number": "540-868-0144",
            "fax_number": "540-868-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PROSPERITY DR",
            "address_2": "SUITE 600",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22602",
            "telephone_number": "540-868-0144",
            "fax_number": "540-868-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORROMEO",
        "first_name": "ABEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "227306",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.