Individual provider Active NPI

Thomas L Muncy II, DC

  • Chiropractor
  • Bristol, VA
National Provider Identifier
1306861984
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556284 Issued in VA
Practice address
300 Moore St
Bristol, VA 24201-4495
Phone
(276) 591-5448
Fax
(276) 591-5447
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556284 VA Primary

Addresses

Primary practice location

300 Moore St
Bristol, VA 24201-4495

Mailing address

300 Moore St Ste B
Bristol, VA 24201-4337
Phone (276) 591-5448

Other identifiers 1

IdentifierTypeStateIssuer
146646OtherVABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000928 VA Practitioner - Chiropractic 9830154525 Reassigns benefits to 1 organization
Practice locations: Bristol, VA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 Moore St
Bristol, VA 24201-4495
Phone (276) 591-5448

300 Moore St B
Bristol, VA 24201-4495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104556284VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Integrated Medical & Sports Health, LLC CurrentSince Feb 16, 2020 Accepting new patients
Muncy Spinal Institute LLC Chiropractor CurrentSince Nov 13, 2024 Accepting new patients
Bristol Chiropractic PC Chiropractor Past Accepting new patients
Bristol Chiropractic and Wellness Center, PC Chiropractor PastSince Feb 25, 2013 Accepting new patients

Locations

300 Moore St
Ste B
Bristol, VA 24201
Phone (276) 591-5448

300 Moore St
Bristol, VA 24201
Phone (276) 591-5448

Organizations & group practices 4

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1306861984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOORE ST STE B",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014337",
            "telephone_number": "276-591-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOORE ST",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014495",
            "telephone_number": "276-591-5448",
            "fax_number": "276-591-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNCY",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "146646",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.