Organization Active NPI

Bevis Family Chiropractic, P.a.

Doing business as 100 Percent Chiropractic

  • Chiropractor
  • Tallahassee, FL
National Provider Identifier
1376071928
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11224 Issued in FL
Legal business name
BEVIS FAMILY CHIROPRACTIC, P.A.
Doing business as
100 Percent Chiropractic
Practice address
1950 Thomasville Rd Ste E
Tallahassee, FL 32303-5262
Phone
(850) 536-6789
Fax
(850) 536-6793
NPI assigned
May 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. William Lewis Bevis, DCNPI 1003221268
Title
Doctor/Owner
Phone
(850) 536-6789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11224 FL Primary

Addresses

Primary practice location

1950 Thomasville Rd Ste E
Tallahassee, FL 32303-5262

Mailing address

1950 Thomasville Rd Ste E
Tallahassee, FL 32303-5262
Phone (850) 536-6789

Other names 1

  • 100 Percent Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170707001085 FL Part B Supplier - Clinic/Group Practice 2264701283 Receives reassigned benefits from 1 practitioner
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

1378 Timberlane Rd
#100
Tallahassee, FL 32312
Phone (850) 536-6789

1378 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 893-5018

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376071928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 THOMASVILLE RD STE E",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035262",
            "telephone_number": "850-536-6789",
            "fax_number": "850-536-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 THOMASVILLE RD STE E",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035262",
            "telephone_number": "850-536-6789",
            "fax_number": "850-536-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVIS FAMILY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BEVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "850-536-6789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "100 Percent Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "100 Percent Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.