Active NPI
Hulbert Chiropractic PC
- Nutrition Chiropractor
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 08002421A
- Legal business name
- HULBERT CHIROPRACTIC PC
- Practice address
- 353 S Landmark Ave
Bloomington, IN 47403-5001 - Phone
- (812) 330-1234
- Fax
- (812) 330-1221
- NPI assigned
- Mar 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Travis Russell Hulbert, DC
- Title
- Doctor of Chiropractic
- Phone
- (812) 330-1234
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 08002421A | IN | Primary |
Addresses
Primary practice location
353 S Landmark Ave
Bloomington, IN 47403-5001
Mailing address
353 S Landmark Ave
Bloomington, IN 47403-5001
Phone (812) 330-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4617 W Richland Plaza Dr
Bloomington, IN 47404
Phone (812) 330-1234
4617 W Richland Plaza Dr
#C
Bloomington, IN 47404
Phone (812) 330-1234
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Bloomington, IN
- NPI 1407093719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245283200000",
"number": "1255571360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 S LANDMARK AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474035001",
"telephone_number": "812-330-1234",
"fax_number": "812-330-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 S LANDMARK AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474035001",
"telephone_number": "812-330-1234",
"fax_number": "812-330-1221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HULBERT CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-02",
"last_updated": "2009-06-18",
"status": "A",
"authorized_official_last_name": "HULBERT",
"authorized_official_first_name": "TRAVIS",
"authorized_official_middle_name": "RUSSELL",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "812-330-1234",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": "IN",
"license": "08002421A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.