Cynthia L. Bullard-Kelley

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2026 Issued in NC

Practice address

1920 S Main St
High Point, NC 27260-4425

Phone

(336) 885-5200

Fax

(336) 885-5250

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• South Main Chiropractic Clinic

  • Chiropractor
  • High Point, NC
  • NPI 1811174139
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1639226533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 S MAIN ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272604425",
            "telephone_number": "336-885-5200",
            "fax_number": "336-885-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 S MAIN ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272604425",
            "telephone_number": "336-885-5200",
            "fax_number": "336-885-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD-KELLEY",
        "first_name": "CYNTHIA",
        "middle_name": "L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0827K",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890827K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawnene Bucher
• Hilary Kathryn Buckler, PAC
• Bonny Jean-Cranford Buckley, M.A., LPC, NCC
• Brian James Budzyn, M.D.
• Donald K Bulla, PA-C, RPH.
• Margaret Ellen Bump Bull, LCMHCA
• Lee Martin Bunemann, M.D.
• Thavij David Burapavong, M.D.
• Amy Whitehart Burchette, RN
• Kelsey Burge

• Chiropractor in High Point, NC
• Providers in High Point, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.