Individual provider Active NPI

Michael Patrick McPharlin, D.C., B.S.N.

  • Chiropractor
  • Port Huron, MI
National Provider Identifier
1639476427
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009785 Issued in MI
Practice address
1025 Huron Ave
Port Huron, MI 48060-3763
Phone
(810) 294-5678
Fax
(810) 294-5677
NPI assigned
Feb 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009785 MI Primary

Addresses

Primary practice location

1025 Huron Ave
Port Huron, MI 48060-3763

Mailing address

1025 Huron Ave
Port Huron, MI 48060-3763
Phone (810) 294-5678

Other identifiers 3

IdentifierTypeStateIssuer
OG40128OtherMIBCBS MICHIGAN
772167OtherMIUNITED HEALTHCARE - OPTUMHEALTH CARE SOLUTIONS
382040767OtherMICOFINITY - AETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412000890 MI Practitioner - Chiropractic 8921282179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1009 Ontario St
Port Huron, MI 48060-3729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
2301009785MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Chiropractic and Integrated Health LLC Chiropractor CurrentSince Jul 2, 2012 Accepting new patients

Locations

1025 Huron Ave
Port Huron, MI 48060
Phone (810) 294-5678

1009 Ontario St
Port Huron, MI 48060
Phone (810) 966-1900

Organizations & group practices 1

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": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1639476427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 HURON AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603763",
            "telephone_number": "810-294-5678",
            "fax_number": "810-294-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 HURON AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603763",
            "telephone_number": "810-294-5678",
            "fax_number": "810-294-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHARLIN",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C., B.S.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-14",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MICHIGAN",
            "identifier": "OG40128",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE - OPTUMHEALTH CARE SOLUTIONS",
            "identifier": "772167",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COFINITY - AETNA",
            "identifier": "382040767",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.