Individual provider Active NPI

Mark James Bugni, DC

  • Chiropractor
  • Iron River, MI
National Provider Identifier
1386053452
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010225 Issued in MI
Practice address
202 W Adams Street
Northwoods Family Chiropracitc
Iron River, MI 49935-1433
Phone
(906) 265-9000
Fax
(906) 265-9009
NPI assigned
Aug 4, 2014
Last updated
Aug 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010225 MI Primary

Addresses

Primary practice location

202 W Adams Street
Northwoods Family Chiropracitc
Iron River, MI 49935-1433

Mailing address

202 W Adams Street
Iron River, MI 49935
Phone (906) 265-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171101001669 WI Practitioner - Chiropractic 4981825320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

701 N Railroad St
Eagle River, WI 54521-8833
Phone (715) 479-4214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Family Chiropractic Chiropractor CurrentSince Sep 2, 2017 Accepting new patients

Locations

701 N Railroad St
Eagle River, WI 54521
Phone (715) 479-4214

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1386053452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W ADAMS STREET",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "49935",
            "telephone_number": "906-265-9000",
            "fax_number": "906-265-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W ADAMS STREET",
            "address_2": "NORTHWOODS FAMILY CHIROPRACITC",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499351433",
            "telephone_number": "906-265-9000",
            "fax_number": "906-265-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGNI",
        "first_name": "MARK",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron River, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.

Verify at the official NPI Registry.