Active NPI
Steven Michael Bollinger, DC
- Chiropractor
- Keyser, WV
National Provider Identifier
1366528192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 657
- Practice address
- 29 Staggs LN
Keyser, WV 26726-7473 - Phone
- (304) 788-8180
- Fax
- (304) 788-8110
- NPI assigned
- Oct 27, 2006
- 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 | 657 | WV | Primary |
Addresses
Primary practice location
29 Staggs LN
Keyser, WV 26726-7473
Mailing address
29 Staggs LN
Keyser, WV 26726-7473
Phone (304) 788-8180
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M644SM | Other | MD | CAREFIRST BC/BS |
| 7600065000 | Medicaid | WV | |
| 001722438 | Other | WV | MOUNTAIN STATE BC/BS |
Organizations & group practices 2
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.
-
- Chiropractor
- Keyser, WV
- NPI 1588986129
-
- Durable Medical Equipment & Medical Supplies
- Keyser, WV
- NPI 1699243691
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
29 Staggs LN
Keyser, WV 26726-7473
Phone (304) 788-8180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100423000578 | WV | Practitioner - Chiropractic | 7719918762 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaaching Back Chiropractic Center | Chiropractor | Current | Accepting new patients |
| Nucare Medical Equipment, LLP | Past | Accepting new patients |
Locations
29 Staggs Ln
Keyser, WV 26726
Phone (304) 788-6566
562 Stony Run Rd
Keyser, WV 26726
Phone (304) 788-8180
167 S Mineral St
Keyser, WV 26726
Phone (304) 788-0785
Interoperability endpoints
- steven.bollinger@abcc-wv.direct.office.nextgen.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1366528192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 STAGGS LN",
"city": "KEYSER",
"state": "WV",
"postal_code": "267267473",
"telephone_number": "304-788-8180",
"fax_number": "304-788-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 STAGGS LN",
"city": "KEYSER",
"state": "WV",
"postal_code": "267267473",
"telephone_number": "304-788-8180",
"fax_number": "304-788-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLINGER",
"first_name": "STEVEN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "M644SM",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7600065000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BC/BS",
"identifier": "001722438",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Keyser, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.