Active NPI
Big Vision, LLC
- Chiropractor
- Jackson, MI
National Provider Identifier
1689784126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- BIG VISION, LLC
- Practice address
- 1211 Warren Ave
Jackson, MI 49203-3729 - Phone
- (517) 990-0555
- Fax
- (517) 990-0550
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brad Allen Double, DC
- Title
- Owner
- Phone
- (517) 458-7141
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1211 Warren Ave
Jackson, MI 49203-3729
Mailing address
1211 Warren Ave
Jackson, MI 49203-3729
Phone (517) 990-0555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0D61058 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1211 Warren Ave
Jackson, MI 49203
Phone (517) 900-0555
113 W Main St
Morenci, MI 49256
Phone (517) 458-7141
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Jackson, MI
- NPI 1871609594
-
- Chiropractor
- Morenci, MI
- NPI 1598871220
-
- Chiropractor
- Wyoming, MI
- NPI 1174761001
-
- Chiropractor
- Morenci, MI
- NPI 1689976623
-
- Chiropractor
- Freeport, IL
- NPI 1497861132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655424000000",
"number": "1689784126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 WARREN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033729",
"telephone_number": "517-990-0555",
"fax_number": "517-990-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 WARREN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033729",
"telephone_number": "517-990-0555",
"fax_number": "517-990-0550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG VISION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A",
"authorized_official_last_name": "DOUBLE",
"authorized_official_first_name": "BRAD",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-458-7141",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0D61058",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.