Olusegun A Buraimoh, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHI3662 Issued in MA

Practice address

1247 Belmont St
Brockton, MA 02301-4432

Phone

(508) 584-0068

Fax

(508) 584-6573

NPI assigned

Aug 15, 2019

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

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Buraimoh Enterprises, LLC

  • Chiropractor
  • Brockton, MA
  • NPI 1386357010
  NPD Authorized official
• Bay State Physical Therapy of Randolph Inc

  • Physical Therapist
  • Fall River, MA
  • NPI 1164474334

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1255987137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014432",
            "telephone_number": "508-584-0068",
            "fax_number": "508-584-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014432",
            "telephone_number": "508-584-0068",
            "fax_number": "508-584-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURAIMOH",
        "first_name": "OLUSEGUN",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CHI3662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Bullard, LMHC
• Alan B Bulotsky, MD
• Jennifer L. Bunker
• Erin Buonome
• Buraimoh Enterprises, LLC
• Kayla Burda
• Claire Michelle Burgess, PH.D.
• Mary Elizabeth Burgess, MA
• Nicole Diasio Burk
• Cynthia L Burke

• Chiropractor in Brockton, MA
• Providers in Brockton, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.

Verify at the official NPI Registry.