NPIMap

Organization Active NPI

Bauman Chiropractic Clinic of North West Florida, P.a.

  • Chiropractor
  • Panama City, FL
National Provider Identifier
1457505075
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BAUMAN CHIROPRACTIC CLINIC OF NORTH WEST FLORIDA, P.A.
Practice address
3613 N Highway 231
Panama City, FL 32404-9743
Phone
(850) 785-8311
Fax
(850) 872-9892
NPI assigned
Nov 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Dr. Walter Reid Bauman, D.C.
Title
Owner
Phone
(850) 785-8311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3613 N Highway 231
Panama City, FL 32404-9743

Mailing address

3613 N Highway 231
Panama City, FL 32404-9743
Phone (850) 785-8311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110518000152 FL Part B Supplier - Clinic/Group Practice 3971666405 Receives reassigned benefits from 4 practitioners
Practice locations: Panama City, FL

National Provider Directory

National Provider Directory

Locations

3613 N Highway 231
Panama City, FL 32404
Phone (850) 785-8311

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1457505075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 N HIGHWAY 231",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324049743",
            "telephone_number": "850-785-8311",
            "fax_number": "850-872-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 N HIGHWAY 231",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324049743",
            "telephone_number": "850-785-8311",
            "fax_number": "850-872-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUMAN CHIROPRACTIC CLINIC OF NORTH WEST FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "REID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-785-8311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.