Active NPI
Drew Bulkin, D.C.
- Chiropractor
- Lawrenceville, GA
National Provider Identifier
1487779872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6068
- Practice address
- 4799 Sugarloaf Pkwy
Ste L
Lawrenceville, GA 30044-8836 - Phone
- (770) 513-0950
- Fax
- (770) 513-0570
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 6068 | GA | Primary |
Addresses
Primary practice location
4799 Sugarloaf Pkwy
Ste L
Lawrenceville, GA 30044-8836
Mailing address
4799 Sugarloaf Pkwy
Ste L
Lawrenceville, GA 30044-8836
Phone (770) 513-0950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6068 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specific Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Lawrenceville, GA
- NPI 1982729380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1487779872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4799 SUGARLOAF PKWY",
"address_2": "STE L",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300448836",
"telephone_number": "770-513-0950",
"fax_number": "770-513-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4799 SUGARLOAF PKWY",
"address_2": "STE L",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300448836",
"telephone_number": "770-513-0950",
"fax_number": "770-513-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULKIN",
"first_name": "DREW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "6068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.