Individual provider Active NPI

Troy D. Buckridge, DC

  • Occupational Health Chiropractor
  • Seymour, TN
National Provider Identifier
1265580559
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
DC0000001305 Issued in TN
Practice address
11729 Chapman Hwy
Suite 5
Seymour, TN 37865-5181
Phone
(865) 577-2273
Fax
(865) 577-2272
NPI assigned
Jan 5, 2007
Last updated
Aug 2, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X DC0000001305 TN Primary

Addresses

Primary practice location

11729 Chapman Hwy
Suite 5
Seymour, TN 37865-5181

Mailing address

11729 Chapman Hwy
Suite 5
Seymour, TN 37865-5181
Phone (865) 577-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120206000131 TN Practitioner - Chiropractic 3476710393 Practice locations: Seymour, TN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11729 Chapman Hwy
Suite 5
Seymour, TN 37865-5181
Phone (865) 577-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0000001305TNMDOccupational Health Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186012800000",
    "number": "1265580559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11729 CHAPMAN HWY",
            "address_2": "SUITE 5",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655181",
            "telephone_number": "865-577-2273",
            "fax_number": "865-577-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11729 CHAPMAN HWY",
            "address_2": "SUITE 5",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655181",
            "telephone_number": "865-577-2273",
            "fax_number": "865-577-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKRIDGE",
        "first_name": "TROY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "TN",
            "license": "DC0000001305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.