Active NPI
Nelson David Bulmash, DC
- Chiropractor
- Alpharetta, GA
National Provider Identifier
1235261314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0004806
- Practice address
- 11080 Old Roswell Rd Ste 100
Alpharetta, GA 30009-4758 - Phone
- (770) 740-8228
- Fax
- (770) 346-9958
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 0004806 | GA | Primary |
Addresses
Primary practice location
11080 Old Roswell Rd Ste 100
Alpharetta, GA 30009-4758
Mailing address
11080 Old Roswell Rd Ste 100
Alpharetta, GA 30009-4758
Phone (770) 740-8228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11080 Old Roswell Rd
Alpharetta, GA 30009-4758
Phone (770) 740-8228
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0004806 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Light Enterprises, Inc. | Chiropractor | Current | Accepting new patients |
| Family Haven Chiropractic Practice | Chiropractor | Past | Accepting new patients |
Locations
11080 Old Roswell Rd
Ste 100
Alpharetta, GA 30009
Phone (470) 977-0722
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 and National Provider Directory roles.
-
- Chiropractor
- Alpharetta, GA
- NPI 1972357713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543017600000",
"number": "1235261314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11080 OLD ROSWELL RD STE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300094758",
"telephone_number": "770-740-8228",
"fax_number": "770-346-9958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11080 OLD ROSWELL RD STE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300094758",
"telephone_number": "770-740-8228",
"fax_number": "770-346-9958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULMASH",
"first_name": "NELSON",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2018-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "0004806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2018; 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.