BKBG Enterprises LLC
Organization Active NPI Chiropractor · Strongsville, OH
NPI 1659100725 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1659100725
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BKBG ENTERPRISES LLC
- Practice address
- 14757 Pearl Rd
Strongsville, OH 44136-5026 - Phone
- (216) 905-8933
- NPI assigned
- Jul 29, 2024
- Organization subpart
- No
Authorized official
- Name
- Victoria Adkins, DC
- Title
- Owner/Practitioner
- Phone
- (216) 905-8933
Practitioners 3
-
Victoria Adkins, DC
-
Robert Eugene Griesse, D.C.
-
Jordan Logozny, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241113000489 | OH | Part B Supplier - Clinic/Group Practice | 2163956194 |
Receives reassigned benefits from 1 practitioner Practice locations: Strongsville, OH |
National Provider Directory
Locations
2855 W Market St
Ste 201
Fairlawn, OH 44333
Phone (234) 900-4150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
14757 Pearl Rd
Strongsville, OH 44136-5026
Mailing address
15914 Kingswood CT
Strongsville, OH 44149-5704
Phone (216) 905-8933
Other practice location 1
2855 W Market St Ste 201
Fairlawn, OH 44333-4034
Phone (234) 900-4150
Other names
- Healthsource of Strongsville
Other providers in Strongsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.