Active NPI
Barry Keith Gregory, D.C.
- Chiropractor
- Lebanon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000589
- Practice address
- 1114 E. Main Street
Suite 7
Lebanon, VA 24266 - Phone
- (276) 889-4701
- Fax
- (276) 889-4701
- NPI assigned
- Aug 10, 2006
- Last updated
- Nov 29, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000589 | VA | Primary |
Addresses
Primary practice location
1114 E. Main Street
Suite 7
Lebanon, VA 24266
Mailing address
PO Box 2425
Lebanon, VA 24266-2425
Phone (276) 889-4701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 332447 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1114 E Main St
Suite 7
Lebanon, VA 24266-5014
Phone (276) 889-4701
PO Box
Suite 2425
Lebanon, VA 24266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104000589 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory Chiropractic Health Center P.C. | Chiropractor | Current | Accepting new patients |
Locations
1114 E Main St
#7
Lebanon, VA 24266
Phone (276) 889-4701
1114 E Main St
Ste 7
Lebanon, VA 24266
Phone (276) 889-4701
Organizations & group practices 1
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.
-
- Chiropractor
- Lebanon, VA
- NPI 1093878779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1225049778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2425",
"city": "LEBANON",
"state": "VA",
"postal_code": "242662425",
"telephone_number": "276-889-4701",
"fax_number": "276-889-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 E. MAIN STREET",
"address_2": "SUITE 7",
"city": "LEBANON",
"state": "VA",
"postal_code": "24266",
"telephone_number": "276-889-4701",
"fax_number": "276-889-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "BARRY",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "332447",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.