NPIMap

Organization Active NPI

Buckner Chiropractic Center, Inc.

  • Chiropractor
  • Huntsville, AL
National Provider Identifier
1538326939
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1947 Issued in AL
Legal business name
BUCKNER CHIROPRACTIC CENTER, INC.
Practice address
2605 Old Fairway Rd Ste 100
Huntsville, AL 35806-6401
Phone
(256) 895-0606
Fax
(256) 895-6400
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Dr. Herbert Nolen Buckner, D.C.NPI 1154482461
Title
President/ Doctor
Phone
(256) 895-0606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1947 AL Primary

Addresses

Primary practice location

2605 Old Fairway Rd Ste 100
Huntsville, AL 35806-6401

Mailing address

2605 Old Fairway Rd Ste 100
Huntsville, AL 35806-6401
Phone (256) 895-0606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080602000061 AL Part B Supplier - Clinic/Group Practice 5294805362 Receives reassigned benefits from 4 practitioners
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1538326939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 OLD FAIRWAY RD STE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358066401",
            "telephone_number": "256-895-0606",
            "fax_number": "256-895-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 OLD FAIRWAY RD STE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358066401",
            "telephone_number": "256-895-0606",
            "fax_number": "256-895-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKNER CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "NOLEN",
        "authorized_official_title_or_position": "PRESIDENT/ DOCTOR",
        "authorized_official_telephone_number": "256-895-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.