Cecil Eugene Collins Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0000001286 Issued in TN

Practice address

1504 Virginia Ave
Bristol, TN 37620-5163

Phone

(423) 573-1658

Fax

(423) 573-1658

NPI assigned

Mar 16, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Breast Prostheses & Orthotics Inc

  • Orthotic Fitter
  • Bristol, TN
  • NPI 1598797045
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1457475436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 VIRGINIA AVE",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376205163",
            "telephone_number": "423-573-1658",
            "fax_number": "423-573-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 VIRGINIA AVE",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376205163",
            "telephone_number": "423-573-1658",
            "fax_number": "423-573-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CECIL",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM",
            "identifier": "2345678",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3058108",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3679189",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann Clymens
• Jerry Cohee, RPA/RA
• Jacob Nathaniel Coleman
• Robert M Coleman, MD
• Brittney Lynn Collins, FNP-C
• John Wayne Collins, DO
• Sidney W Collins Jr., MD
• Courtney C Colobro
• Compounding Pharmacy LLC
• Compounding Pharmacy LLC

• Chiropractor in Bristol, TN
• Providers in Bristol, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.