Biodynamic Health Services Incorporated

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

0104002024 Issued in VA

Legal business name

BIODYNAMIC HEALTH SERVICES INCORPORATED

Doing business as

Freedom Chiropractic

Practice address

360 Arbor Dr Ste H
Christiansburg, VA 24073-6688

Phone

(540) 381-8700

Fax

(540) 381-8700

NPI assigned

Jun 27, 2011

Last updated

Jul 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark GentileNPI 1912173527

Title

Owner

Phone

(540) 381-8700

Specialties & licenses 1

Addresses

Other names 1

• Freedom Chiropractic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Anthony Gentile, D.C.

  • Orthopedic Chiropractor
  • Christiansburg, VA
  • NPI 1912173527
  Authorized official Same address or phone

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1356637425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 ARBOR DR STE H",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736688",
            "telephone_number": "540-381-8700",
            "fax_number": "540-381-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 ARBOR DR STE H",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736688",
            "telephone_number": "540-381-8700",
            "fax_number": "540-381-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIODYNAMIC HEALTH SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-381-8700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "VA",
            "license": "0104002024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bailey Grace Bennett
• Mary Bennett, MOTR
• Ann T. Benson, ED.S.
• Prashant Bhandari, MD
• Fawzia Bhavnagri, D.D.S.
• Leah Marie Birdwell, DO
• Bailey Morgan Birks, MSW, LMHP-S
• Autumn Bishop, OTR/L
• Kayla Bishop
• Charles D Bissell, MD

• Orthopedic Chiropractor in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Orthopedic Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.