Joseph Mark Crum, DC, CCRD, CCSP

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

0104001471 Issued in VA

Practice address

359 Commonwealth Ave Ste 120
Bristol, VA 24201-3868

Phone

(276) 669-0969

Fax

(276) 669-0969

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1386712263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 COMMONWEALTH AVE STE 120",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013868",
            "telephone_number": "276-669-0969",
            "fax_number": "276-669-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 COMMONWEALTH AVE STE 120",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013868",
            "telephone_number": "276-669-0969",
            "fax_number": "276-669-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUM",
        "first_name": "JOSEPH",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC, CCRD, CCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104001471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5697482",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF VA",
            "identifier": "241832",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "3040218",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "541836647",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2116065",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Cornwell Jr.
• Lindsey Marie Cox, PT, DPT
• Melissa Gent Cox, LCSW
• Brent R Coyle, M.D.
• Cplace Bristol SNF, LLC
• Megan Cunningham, LPN
• D&D Transit LLC
• Tara Dalton, PHARM.D.
• Christopher Mark Davenport
• Jordan Davenport, FNP-BC

• All providers in Bristol, VA
• Sports Physician Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.