Organization Active NPI

Bivrell Chiropractic & Rehabilitation Center PLLC

  • Chiropractor
  • Louisville, CO
National Provider Identifier
1376809178
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4436 Issued in CO
Legal business name
BIVRELL CHIROPRACTIC & REHABILITATION CENTER PLLC
Practice address
287 Century Cir
Suite 102
Louisville, CO 80027-1683
Phone
(720) 890-9800
NPI assigned
Apr 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Paul F Bivrell, DCNPI 1417162975
Title
Owner
Phone
(720) 890-9800

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 4436 CO Primary

Addresses

Primary practice location

287 Century Cir
Suite 102
Louisville, CO 80027-1683

Mailing address

PO Box 412
Louisville, CO 80027-0412
Phone (720) 890-9800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120525000073 CO Part B Supplier - Clinic/Group Practice 6800059049 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, CO

National Provider Directory

National Provider Directory

Locations

275 Century Cir
Ste 101
Louisville, CO 80027
Phone (720) 890-9800

287 Century Cir
Ste 102
Louisville, CO 80027
Phone (720) 890-9800

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": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1376809178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800270412",
            "telephone_number": "720-890-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 CENTURY CIR",
            "address_2": "SUITE 102",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271683",
            "telephone_number": "720-890-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIVRELL CHIROPRACTIC & REHABILITATION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "BIVRELL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-890-9800",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.