Active NPI
Bushra R Mahmud, DC
- Chiropractor
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557755
- Practice address
- 4903 Starkey Rd Ste 100
Roanoke, VA 24018-8525 - Phone
- (540) 774-4443
- NPI assigned
- Nov 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104557755 | VA | Primary |
Addresses
Primary practice location
4903 Starkey Rd Ste 100
Roanoke, VA 24018-8525
Mailing address
4903 Starkey Rd Ste 100
Roanoke, VA 24018-8525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 W Main St
Bedford, VA 24523-1902
Phone (540) 586-1105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104557755 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuck Chiropractic Corporation | Chiropractor | Current | Accepting new patients |
| Tuck Chiropractic Corporation | Past | Accepting new patients |
Locations
301 W Main St
Bedford, VA 24523
Phone (540) 586-1105
1901 S Main St
Ste 5
Blacksburg, VA 24060
620 N Main St
Ste 202
Blacksburg, VA 24060
1212 Corporate Cir SW
Ste 100
Roanoke, VA 24018
4903 Starkey Rd
Ste 100
Roanoke, VA 24018
Phone (540) 774-4443
1212 Corporate Cir SW
Roanoke, VA 24018
Phone (540) 776-8200
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.
-
- Chiropractor
- Blacksburg, VA
- NPI 1003987769
-
- Family Medicine Physician
- Roanoke, VA
- NPI 1578155610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1689339046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4903 STARKEY RD STE 100",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240188525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4903 STARKEY RD STE 100",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240188525",
"telephone_number": "540-774-4443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMUD",
"first_name": "BUSHRA",
"middle_name": "R",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.