Individual provider Active NPI

Jamie Victoria Bunis, D.C.

  • Chiropractor
  • Huntsville, AL
National Provider Identifier
1417010158
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3272 Issued in SC
Practice address
2124 Cecil Ashburn Dr SE
Suite 150
Huntsville, AL 35802-2574
Phone
(256) 713-1830
Fax
(256) 713-1835
NPI assigned
Dec 17, 2006
Last updated
Dec 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2189 AL
Chiropractor 111N00000X 3272 SC Primary

Addresses

Primary practice location

2124 Cecil Ashburn Dr SE
Suite 150
Huntsville, AL 35802-2574

Mailing address

2124 Cecil Ashburn Dr SE
Suite 150
Huntsville, AL 35802-2574
Phone (256) 713-1830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070615000571 AL Practitioner - Chiropractic 0042319089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2309 Starmount Cir SW
Huntsville, AL 35801-3817
Phone (256) 434-7977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2189ALMDChiropractor
3271SCMDHand Occupational Therapist
3272SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jamies Wellness Center LLC Chiropractor CurrentSince Jun 30, 2015 Accepting new patients
Urgent Care Center, LLC Past Accepting new patients
Millar Chiropractic Huntsville, LLC Chiropractor Past Accepting new patients

Locations

2309 Starmount Cir SW
Huntsville, AL 35801
Phone (256) 434-7977

917 Merchants Walk SW
Ste A
Huntsville, AL 35801
Phone (256) 434-7977

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": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1417010158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 CECIL ASHBURN DR SE",
            "address_2": "SUITE 150",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022574",
            "telephone_number": "256-713-1830",
            "fax_number": "256-713-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 CECIL ASHBURN DR SE",
            "address_2": "SUITE 150",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022574",
            "telephone_number": "256-713-1830",
            "fax_number": "256-713-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNIS",
        "first_name": "JAMIE",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-17",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2189",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.