Organization Active NPI

Burk Chiropractic PC

  • Chiropractor
  • Brooklyn, MI
National Provider Identifier
1386975704
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007451 Issued in MI
Legal business name
BURK CHIROPRACTIC PC
Practice address
453 Marshall St
Brooklyn, MI 49230-9798
Phone
(517) 592-6663
NPI assigned
Jan 25, 2010
Last updated
Jan 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Dr. Troy D. Burk, D.C.NPI 1073733358
Title
Owner
Phone
(517) 592-6663

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 2301007451 MI Primary

Addresses

Primary practice location

453 Marshall St
Brooklyn, MI 49230-9798

Mailing address

453 Marshall St
P.O. Box 777
Brooklyn, MI 49230-9798
Phone (517) 592-6663

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110329000133 MI Part B Supplier - Clinic/Group Practice 5092998039 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1386975704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 MARSHALL ST",
            "address_2": "P.O. BOX 777",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492309798",
            "telephone_number": "517-592-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 MARSHALL ST",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492309798",
            "telephone_number": "517-592-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURK CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "BURK",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-592-6663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.