Organization Active NPI

Bull City Family Chiropractic PLLC

  • Chiropractor
  • Durham, NC
National Provider Identifier
1386065324
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4323 Issued in NC
Legal business name
BULL CITY FAMILY CHIROPRACTIC PLLC
Practice address
6104 Fayetteville Rd
Suite 102
Durham, NC 27713-6283
Phone
(716) 984-0285
NPI assigned
Dec 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Dr. Rachel Catharine Sorg, D.C.NPI 1922429968
Title
Owner/Chiropractor
Phone
(716) 984-0285

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 4323 NC Primary

Addresses

Primary practice location

6104 Fayetteville Rd
Suite 102
Durham, NC 27713-6283

Mailing address

6104 Fayetteville Rd
Suite 102
Durham, NC 27713-6283

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140305002215 NC Part B Supplier - Clinic/Group Practice 0042440398 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NC

National Provider Directory

National Provider Directory

Locations

5501 Fortunes Ridge Dr
Ste K
Durham, NC 27713

6104 Fayetteville Rd
Ste 102
Durham, NC 27713
Phone (716) 984-0285

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": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1386065324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 FAYETTEVILLE RD",
            "address_2": "SUITE 102",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 FAYETTEVILLE RD",
            "address_2": "SUITE 102",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136283",
            "telephone_number": "716-984-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULL CITY FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "SORG",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "CATHARINE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "716-984-0285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.