Active NPI
Michael E Blumberg, DC
- Chiropractor
- Richmond, VA
National Provider Identifier
1366566259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104555756
- Practice address
- 3850 Gaskins Rd
Suite 100
Richmond, VA 23233-1447 - Phone
- (804) 290-8080
- Fax
- (804) 290-8081
- NPI assigned
- Mar 18, 2007
- 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 | 0104555756 | VA | Primary |
Addresses
Primary practice location
3850 Gaskins Rd
Suite 100
Richmond, VA 23233-1447
Mailing address
3850 Gaskins Rd
Suite 100
Richmond, VA 23233-1447
Phone (804) 290-8080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 318306 | Other | VA | ANTHEM BCBS |
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 |
|---|---|---|---|
| 0104555756 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1366566259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 GASKINS RD",
"address_2": "SUITE 100",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232331447",
"telephone_number": "804-290-8080",
"fax_number": "804-290-8081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 GASKINS RD",
"address_2": "SUITE 100",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232331447",
"telephone_number": "804-290-8080",
"fax_number": "804-290-8081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMBERG",
"first_name": "MICHAEL",
"middle_name": "E",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-18",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104555756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "318306",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.