Individual provider Active NPI

Joshua Brett Bakun, D.C.

  • Chiropractor
  • Hazard, KY
National Provider Identifier
1265409312
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4875 Issued in KY
Practice address
100 Veterans Dr
Hazard, KY 41701-9483
Phone
(606) 439-3399
Fax
(606) 487-9280
NPI assigned
Mar 7, 2006
Last updated
Mar 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4875 KY Primary
Chiropractor 111N00000X CH 8050 FL

Addresses

Primary practice location

100 Veterans Dr
Hazard, KY 41701-9483

Mailing address

100 Veterans Dr
Hazard, KY 41701-9483
Phone (606) 439-3399

Other identifiers 2

IdentifierTypeStateIssuer
000000331455OtherKYANTHEM BC/BS PIN NUMBER
85003028MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000296 KY Practitioner - Chiropractic 7810972874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fugate Family Chiropractic PSCGroup PAC ID 4688659642, 3 clinicians

Practice addresses (Care Compare)

100 Veterans Dr
Hazard, KY 41701-9483
Phone (606) 439-3399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4875KYMDSocial Worker
CH 8050FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fugate Family Chiropractic PSC Chiropractor CurrentSince Nov 2, 2010 Accepting new patients
Family Center LLC PastSince Nov 2, 2010 Accepting new patients

Locations

100 Veterans Dr
Hazard, KY 41701
Phone (606) 439-3399

3123 N KY Highway 15
#1
Hazard, KY 41701
Phone (606) 439-3399

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, 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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1265409312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VETERANS DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019483",
            "telephone_number": "606-439-3399",
            "fax_number": "606-487-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VETERANS DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019483",
            "telephone_number": "606-439-3399",
            "fax_number": "606-487-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKUN",
        "first_name": "JOSHUA",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4875",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS PIN NUMBER",
            "identifier": "000000331455",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003028",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.