Bristol Chiropractic and Wellness Center, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0000001489 Issued in TN

Legal business name

BRISTOL CHIROPRACTIC AND WELLNESS CENTER, PC

Practice address

615 Volunteer Pkwy
Bristol, TN 37620-3640

Phone

(423) 968-2288

Fax

(423) 968-4841

NPI assigned

Mar 18, 2013

Last updated

Mar 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Reed Booher, DC

Title

Owner

Phone

(423) 968-2288

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael David Smith, DC

  • Chiropractor
  • Bristol, TN
  • NPI 1366554974
  NPD (past)
• Thomas L Muncy II, DC

  • Chiropractor
  • Bristol, VA
  • NPI 1306861984
  NPD (past)

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1578805545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 VOLUNTEER PKWY",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376203640",
            "telephone_number": "423-968-2288",
            "fax_number": "423-968-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 VOLUNTEER PKWY",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376203640",
            "telephone_number": "423-968-2288",
            "fax_number": "423-968-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL CHIROPRACTIC AND WELLNESS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "BOOHER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-968-2288",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1053626507",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526255",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Albert Brenner, MD
• Jonathan Thomas Brewster, PHARMD
• Bridges W. Smith, P.C.
• Robert Randolph Brinson, M.D.
• Bristol Ambulatory Surgery Center, LLC
• Bristol Chiropractic PC (Messimer Chiropractic)
• Bristol Computer Services, Inc. (Medical Billing & Administrative Services, Inc.)
• Bristol Consultants PC
• Bristol Dental Group, PC
• Bristol Dermatology, PLLC

• Chiropractor in Bristol, TN
• Providers in Bristol, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.