Organization Active NPI

Buraimoh Enterprises, LLC

  • Chiropractor
  • Brockton, MA
National Provider Identifier
1386357010
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BURAIMOH ENTERPRISES, LLC
Practice address
1247 Belmont St
Brockton, MA 02301-4432
Phone
(508) 584-0068
Fax
(508) 584-6573
NPI assigned
Dec 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Dr. Olusegun Buraimoh, DCNPI 1255987137
Title
Owner
Phone
(857) 540-0630

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 Primary

Addresses

Primary practice location

1247 Belmont St
Brockton, MA 02301-4432

Mailing address

1247 Belmont St
Brockton, MA 02301-4432
Phone (508) 584-0068

Other names 1

  • Resurgent Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1247 Belmont St
Brockton, MA 02301
Phone (508) 584-0068

Practitioners & affiliated clinicians

Practitioners 2

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": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1386357010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014432",
            "telephone_number": "508-584-0068",
            "fax_number": "508-584-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014432",
            "telephone_number": "508-584-0068",
            "fax_number": "508-584-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURAIMOH ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "BURAIMOH",
        "authorized_official_first_name": "OLUSEGUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-540-0630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resurgent Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.