Organization Active NPI

David Burroughs PC

Doing business as Bulverde Chiropractic Wellness Center

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1396801429
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7226 Issued in TX
Legal business name
DAVID BURROUGHS PC
Doing business as
Bulverde Chiropractic Wellness Center
Practice address
28120 US Highway 281 N
Suite 104
San Antonio, TX 78260-1708
Phone
(830) 980-7520
Fax
(830) 438-7739
NPI assigned
Jan 1, 2007
Last updated
Feb 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Authorized official

Name
Mr. David W Burroughs, D.C.NPI 1104909852
Title
President
Phone
(830) 980-7520

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 7226 TX Primary

Addresses

Primary practice location

28120 US Highway 281 N
Suite 104
San Antonio, TX 78260-1708

Mailing address

28120 US Highway 281 N
Suite 104
San Antonio, TX 78260-1708
Phone (830) 980-7520

Other identifiers 1

IdentifierTypeStateIssuer
TXB115085OtherTXGROUP PTAN

Other names 1

  • Bulverde Chiropractic Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110105000334 TX Part B Supplier - Clinic/Group Practice 4082803184 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

28120 US Highway 281 N
Ste 104
San Antonio, TX 78260
Phone (830) 980-7520

28120 US Highway 281 N
Ste 145
San Antonio, TX 78260
Phone (830) 980-7520

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": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1396801429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28120 US HIGHWAY 281 N",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782601708",
            "telephone_number": "830-980-7520",
            "fax_number": "830-438-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28120 US HIGHWAY 281 N",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782601708",
            "telephone_number": "830-980-7520",
            "fax_number": "830-438-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BURROUGHS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-980-7520",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "TXB115085",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bulverde Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.