Individual provider Active NPI

Randy L. Markum, D.C.

  • Chiropractor
  • Burleson, TX
National Provider Identifier
1518978956
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4098 Issued in TX
Practice address
1161 SW Wilshire Blvd
Suite #132
Burleson, TX 76028-5797
Phone
(817) 447-6400
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC4098 TX Primary

Addresses

Primary practice location

1161 SW Wilshire Blvd
Suite #132
Burleson, TX 76028-5797

Mailing address

1161 SW Wilshire Blvd
Suite #132
Burleson, TX 76028-5707
Phone (817) 447-6400

Other identifiers 1

IdentifierTypeStateIssuer
8G2666OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110901000211 TX Practitioner - Chiropractic 1850561721 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC4098TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Burleson Chiropractic Center Inc Chiropractor CurrentSince Jun 21, 2017 Accepting new patients
Irst Health Past Accepting new patients

Locations

1571 SW Wilshire Blvd
Ste 505
Burleson, TX 76028
Phone (817) 447-6400

1161 SW Wilshire Blvd
Ste 132
Burleson, TX 76028
Phone (817) 447-6400

Organizations & group practices 2

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1518978956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 SW WILSHIRE BLVD",
            "address_2": "SUITE #132",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285707",
            "telephone_number": "817-447-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 SW WILSHIRE BLVD",
            "address_2": "SUITE #132",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285797",
            "telephone_number": "817-447-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKUM",
        "first_name": "RANDY",
        "middle_name": "L.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC4098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G2666",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.