Randal Burkholder, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC8611 Issued in PA

Practice address

809 N State St
Ephrata, PA 17522-2163

Phone

(717) 738-3474

Fax

(717) 738-8087

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Burkholder Chiropractic Clinic, P.C.

  • Chiropractor
  • Ephrata, PA
  • NPI 1679611693
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1295737039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N STATE ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222163",
            "telephone_number": "717-738-3474",
            "fax_number": "717-738-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N STATE ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222163",
            "telephone_number": "717-738-3474",
            "fax_number": "717-738-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHOLDER",
        "first_name": "RANDAL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC8611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "1005195",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGH MARK",
            "identifier": "BU1670931",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Budway, M.D.
• Keith Bumeder, PA-C
• Abdul Bundu, LBS
• Burkholder Chiropractic Clinic, P.C.
• Judith N Burkholder
• Danielle Lynn Burns, DPT
• Jessica Burton, BA
• By Your Side Counseling
• Ann Marie Bybel, M.D.
• Natalie Byler, COTA/L

• Chiropractor in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.