Active NPI
Robert Bynum Terrell, D.C.
- Chiropractor
- Rainsville, AL
National Provider Identifier
1447337225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2001
- Practice address
- 65 McCurdy Avenue South
Rainsville, AL 35986 - Phone
- (256) 638-9393
- Fax
- (256) 638-9395
- NPI assigned
- Nov 1, 2006
- Last updated
- May 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2001 | AL | Primary |
Addresses
Primary practice location
65 McCurdy Avenue South
Rainsville, AL 35986
Mailing address
PO Box 1757
Rainsville, AL 35986-1757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-01673 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
65 McCurdy Ave S
Rainsville, AL 35986-4573
Phone (256) 638-9393
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrell Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
65 McCurdy Ave S
Rainsville, AL 35986
Phone (256) 638-9393
Organizations & group practices 1
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.
-
- Chiropractor
- Rainsville, AL
- NPI 1386709632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241395200000",
"number": "1447337225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1757",
"city": "RAINSVILLE",
"state": "AL",
"postal_code": "359861757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 MCCURDY AVENUE SOUTH",
"city": "RAINSVILLE",
"state": "AL",
"postal_code": "35986",
"telephone_number": "256-638-9393",
"fax_number": "256-638-9395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "ROBERT",
"middle_name": "BYNUM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2009-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "515-01673",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rainsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.