Organization Active NPI

Functionally Fit Chiropractic, Inc.

  • Chiropractor
  • Rockledge, FL
National Provider Identifier
1679391635
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FUNCTIONALLY FIT CHIROPRACTIC, INC.
Doing business as
Functionally Fit Chiropractic, INC
Practice address
3802 Murrell Rd
Rockledge, FL 32955-4741
Phone
(321) 877-2090
Fax
(321) 349-0217
NPI assigned
Sep 30, 2024
Last updated
May 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Gerald Bowman, DCNPI 1043749799
Title
Owner/Manager
Phone
(321) 877-2090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

3802 Murrell Rd
Rockledge, FL 32955-4741

Mailing address

7777 N Wickham Rd Unit 12-514
Melbourne, FL 32940-7976
Phone (321) 877-2090

Other identifiers 1

IdentifierTypeStateIssuer
1679391635OtherFLCHIROPRACTOR

Other names 1

  • Functionally Fit Chiropractic, INC Doing business as

National Provider Directory

National Provider Directory

Locations

3802 Murrell Rd
Rockledge, FL 32955
Phone (321) 339-9202

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1679391635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 N WICKHAM RD UNIT 12-514",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407976",
            "telephone_number": "321-877-2090",
            "fax_number": "321-349-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 MURRELL RD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554741",
            "telephone_number": "321-877-2090",
            "fax_number": "321-349-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONALLY FIT CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "321-877-2090",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "1679391635",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functionally Fit Chiropractic, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.