Glen Raymond Burford, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC461 Issued in TN

Practice address

346 New Byhalia Rd
Suite 3
Collierville, TN 38017

Phone

(901) 853-1734

Fax

(901) 854-1166

NPI assigned

Feb 13, 2007

Last updated

Sep 6, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1986

Medicare assignment

May accept Medicare assignment

Group practices

Ideal Health Solutions, LLCGroup PAC ID 3577843218, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ideal Health Solutions, LLC

  • General Practice Physician
  • Collierville, TN
  • NPI 1811442452
  Medicare reassignment Care Compare group NPD Authorized official
• Ideal Structural Therapy

  • Physical Medicine & Rehabilitation Physician
  • Collierville, TN
  • NPI 1538718440
  NPD Authorized official
• Unique Medical LLC

  • Nurse Practitioner
  • Collierville, TN
  • NPI 1386983831
  NPD (past) Authorized official
• Burford Chiropractic

  • Independent Medical Examiner Chiropractor
  • Collierville, TN
  • NPI 1497940902
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1417099631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 NEW BYHALIA RD",
            "address_2": "SUITE 3",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "38017",
            "telephone_number": "901-853-1734",
            "fax_number": "901-854-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 NEW BYHALIA RD",
            "address_2": "SUITE 3",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "38017",
            "telephone_number": "901-853-1734",
            "fax_number": "901-854-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURFORD",
        "first_name": "GLEN",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TN",
            "license": "DC461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann H Bryan, PT, DPT
• Amy Culpepper Bull, PT
• Joy C Burbeck, M.D.
• Melanie Burdette
• Burford Chiropractic
• Elantraiona Burke
• William Bruce Burriss, D.D.S., M.S.
• Joshua Burton, MPT,DPT
• Stacey Butz, O.D.
• Theresa Call, PHARMD

• Rehabilitation Chiropractor in Collierville, TN
• Providers in Collierville, TN by specialty
• Rehabilitation Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.