Jordan Michael Burns, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

08002911A Issued in IN

Practice address

110 E 10TH St
Bloomington, IN 47408-3321

Phone

(812) 323-0700

Fax

(812) 323-0702

NPI assigned

Jun 6, 2016

Sex

Male

Sole proprietor

No

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

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Freedom Chiropractic IncGroup PAC ID 2466751391, 3 clinicians

Practice addresses (Care Compare)

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.

• Freedom Chiropractic Inc

  dba ProWellness Chiropractic

  • Chiropractor
  • Fishers, IN
  • NPI 1992181127
  Medicare reassignment Care Compare group NPD
• Prowellness Chiropractic, P.C.

  • Chiropractor
  • Fishers, IN
  • NPI 1790973154
  NPD
• Goode Chiropractic Services LLC

  • Chiropractor
  • Bloomington, IN
  • NPI 1013168228
  NPD (past)

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1548619141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 10TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474083321",
            "telephone_number": "812-323-0700",
            "fax_number": "812-323-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 10TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474083321",
            "telephone_number": "812-323-0700",
            "fax_number": "812-323-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JORDAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IN",
            "license": "08002911A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Burnette, M.S BCBA
• Liza Marie Burns-Orrego, MD
• Catherine Burns, BA
• Claudia A Burns, DPT
• Erik David Burns, ADICTIONS COUNSELOR
• Michael R Burns, N.P.
• Amy Beth Burrell
• Cloey Burris, RBT
• Kaylee Burris, RBT
• Lester Burris II

• Sports Physician Chiropractor in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Sports Physician Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.