Benjamin Bumguardner, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

13391 Issued in TX

Practice address

4438 SH 6 S
Suite 104
College Station, TX 77845-7452

Phone

(979) 398-2787

NPI assigned

Jan 22, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Alpha Sports McKinney, LLC

  • Sports Physical Therapist
  • College Station, TX
  • NPI 1255117925

  Sports Physician

  NPD Authorized official

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

{
    "created_epoch": "1485043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1508303017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4438 SH 6 S",
            "address_2": "#104",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "325-660-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4438 SH 6 S",
            "address_2": "SUITE 104",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457452",
            "telephone_number": "979-398-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMGUARDNER",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-22",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "13391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenna Ashton Buchfink
• Kelsey Elizabeth Buck
• Michele Lyn Buenger, RN, BSN, NBC-HWC
• Anh Phuong Bui
• Jasmin Athena Bui, APRN
• David P Buras, MD
• Patrick Stewart Burchfield, DDS
• Haley Burden, RBT
• Margaret Lucille Burks, MD
• Logan Burns

• Sports Physician Chiropractor in College Station, TX
• Providers in College Station, TX by specialty
• Sports Physician Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.