NPIMap

Organization Active NPI

ML Bawcom & Associates

Doing business as Bawcom Chiropractic Clinic

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1295803492
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001771 Issued in VA
Legal business name
ML BAWCOM & ASSOCIATES
Doing business as
Bawcom Chiropractic Clinic
Practice address
762 Independence Blvd
Suite 786
Virginia Beach, VA 23455-6200
Phone
(757) 490-7911
Fax
(757) 490-7918
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Lewis Bawcom, D.C.
Title
Owner President
Phone
(757) 490-7911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104001771 VA Primary

Addresses

Primary practice location

762 Independence Blvd
Suite 786
Virginia Beach, VA 23455-6200

Mailing address

762 Independence Blvd
Suite 786
Virginia Beach, VA 23455-6200
Phone (757) 490-7911

Other names 1

  • Bawcom Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295803492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 INDEPENDENCE BLVD",
            "address_2": "SUITE 786",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556200",
            "telephone_number": "757-490-7911",
            "fax_number": "757-490-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 INDEPENDENCE BLVD",
            "address_2": "SUITE 786",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556200",
            "telephone_number": "757-490-7911",
            "fax_number": "757-490-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ML BAWCOM & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAWCOM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "757-490-7911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bawcom Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.