Active NPI
Roy Funderburke Burch III, D.C.
- Chiropractor
- Florence, SC
National Provider Identifier
1346480993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3426
- Practice address
- 2234 W Palmetto St
Suite C
Florence, SC 29501-4047 - Phone
- (843) 669-5255
- Fax
- (843) 669-5355
- NPI assigned
- Feb 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3426 | SC | Primary |
Addresses
Primary practice location
2234 W Palmetto St
Suite C
Florence, SC 29501-4047
Mailing address
PO Box 5537
Florence, SC 29502-5537
Phone (843) 669-5255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3426 | SC | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235347200000",
"number": "1346480993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5537",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295025537",
"telephone_number": "843-669-5255",
"fax_number": "843-669-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2234 W PALMETTO ST",
"address_2": "SUITE C",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295014047",
"telephone_number": "843-669-5255",
"fax_number": "843-669-5355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "ROY",
"middle_name": "FUNDERBURKE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-23",
"last_updated": "2009-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.