Individual provider Active NPI

Bryce Channing Fugate, DC

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1407461882
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
263699 Issued in KY
Practice address
2417 Nicholasville Rd Ste 114
Lexington, KY 40503-3178
Phone
(859) 278-5800
NPI assigned
Sep 11, 2020
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 263699 KY Primary

Addresses

Primary practice location

2417 Nicholasville Rd Ste 114
Lexington, KY 40503-3178

Mailing address

2417 Nicholasville Rd Ste 114
Lexington, KY 40503-3178
Phone (859) 278-5800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201109002083 KY Practitioner - Chiropractic 5890105589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BC Fugate PLLCGroup PAC ID 6204280787, 2 clinicians

Practice addresses (Care Compare)

2417 Nicholasville Rd
Suite 114
Lexington, KY 40503-3178
Phone (859) 278-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
263699KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
BC Fugate PLLC Chiropractor CurrentSince Jul 1, 2023 Accepting new patients
Core Health Centers of Versailles LLC Chiropractor CurrentSince Oct 1, 2020 Accepting new patients
Beaumont Integrated Medicine PSC PastSince Aug 1, 2022 Accepting new patients

Locations

2417 Nicholasville Rd
Ste 114
Lexington, KY 40503
Phone (316) 200-2211

511 Marsailles Rd
Versailles, KY 40383
Phone (859) 568-5700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1407461882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 NICHOLASVILLE RD STE 114",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033178",
            "telephone_number": "859-278-5800",
            "fax_number": "859-568-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 NICHOLASVILLE RD STE 114",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033178",
            "telephone_number": "859-278-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGATE",
        "first_name": "BRYCE",
        "middle_name": "CHANNING",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "263699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.