Individual provider Active NPI

Andrew Francis Dragun, D.C.

  • Chiropractor
  • Birmingham, AL
National Provider Identifier
1508830381
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2142 Issued in AL
Practice address
8949 Roebuck Blvd
Birmingham, AL 35206-1525
Phone
(205) 413-2997
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2142 AL Primary

Addresses

Primary practice location

8949 Roebuck Blvd
Birmingham, AL 35206-1525

Mailing address

8949 Roebuck Blvd
Birmingham, AL 35206-1525
Phone (205) 413-2997

Other identifiers 1

IdentifierTypeStateIssuer
102I350492OtherALMEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107000199 AL Practitioner - Chiropractic 7416975602 Reassigns benefits to 1 organization
Practice locations: Birmingham, AL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hooker and Yasko PCGroup PAC ID 5799687190, 2 clinicians

Practice addresses (Care Compare)

4735 Norrel Dr
Suite 117
Trussville, AL 35173-3603
Phone (205) 655-0123

4735 Norrell Dr
Suite 117
Trussville, AL 35173-3604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2142ALMDClinical Psychologist

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1508830381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8949 ROEBUCK BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352061525",
            "telephone_number": "205-413-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8949 ROEBUCK BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352061525",
            "telephone_number": "205-413-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGUN",
        "first_name": "ANDREW",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)",
            "identifier": "102I350492",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.