Individual provider Active NPI

Brian Anthony Bullitt, D.C.

  • Chiropractor
  • Frisco, TX
National Provider Identifier
1649279738
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8602 Issued in TX
Practice address
7151 Preston Rd
Suite 111a
Frisco, TX 75034-5822
Phone
(214) 387-4321
Fax
(214) 387-4320
NPI assigned
Jul 20, 2005
Reactivated
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8602 TX Primary

Addresses

Primary practice location

7151 Preston Rd
Suite 111a
Frisco, TX 75034-5822

Mailing address

7151 Preston Rd
Suite 111a
Frisco, TX 75034-5822
Phone (214) 387-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8602TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bullitt Chiropractic, P.a. Chiropractor PastSince Dec 9, 2003 Accepting new patients
Bullitt Chirropractic, P.a. Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1649279738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 PRESTON RD",
            "address_2": "SUITE 111A",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345822",
            "telephone_number": "214-387-4321",
            "fax_number": "214-387-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 PRESTON RD",
            "address_2": "SUITE 111A",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345822",
            "telephone_number": "214-387-4321",
            "fax_number": "214-387-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLITT",
        "first_name": "BRIAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-11-02",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.