Individual provider Active NPI

Gregory S Waldrop, DC

  • Chiropractor
  • Cullman, AL
National Provider Identifier
1497790653
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1238 Issued in AL
Practice address
1015 4TH St SW
Cullman, AL 35055-3327
Phone
(256) 734-5522
Fax
(256) 737-9646
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1238 AL Primary

Addresses

Primary practice location

1015 4TH St SW
Cullman, AL 35055-3327

Mailing address

1015 4TH St SW
Cullman, AL 35055-3327
Phone (256) 734-5522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060718000116 AL Practitioner - Chiropractic 0840203949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waldrop Chiropractic Clinic,IncGroup PAC ID 3577576677, 2 clinicians

Practice addresses (Care Compare)

1015 4TH St SW
Cullman, AL 35055-3327
Phone (256) 734-5522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1238ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Waldrop Chiropractic Clinic, Inc Chiropractor CurrentSince Jul 1, 2006 Accepting new patients

Locations

1015 4th St SW
Cullman, AL 35055
Phone (256) 734-5522

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1497790653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 4TH ST SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553327",
            "telephone_number": "256-734-5522",
            "fax_number": "256-737-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 4TH ST SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553327",
            "telephone_number": "256-734-5522",
            "fax_number": "256-737-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDROP",
        "first_name": "GREGORY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.