Edward L Martin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301006823 Issued in MI

Practice address

5905 W Rolling Hills Dr
Bridgeport, MI 48722-9656

Phone

(989) 777-8282

Fax

(989) 777-8680

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1988

Medicare assignment

May accept Medicare assignment

Group practices

Edward L Martin PCGroup PAC ID 8325096712, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Edward L Martin PC

  dba Martin Chiropractic

  • Chiropractor
  • Bridgeport, MI
  • NPI 1477693398
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700821758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 W ROLLING HILLS DR",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "487229656",
            "telephone_number": "989-777-8282",
            "fax_number": "989-777-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 W ROLLING HILLS DR",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "487229656",
            "telephone_number": "989-777-8282",
            "fax_number": "989-777-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "EDWARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BLUE CROSS BLUE SHI",
            "identifier": "0G31168",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0G31169",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0997552",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loving Touch Home Health Care
• Kevin J Luptowski, BA
• Alexandria Mahoney
• Emily Anne March
• Carley Mae Martin
• Diamond Nakai Matthews
• Brittany Matuszak
• Makayla Rose Matwyuk
• Erin Elizabeth Maul, BA, LBSW
• Kate Alison Maurer, PT, DPT

• Chiropractor in Bridgeport, MI
• Providers in Bridgeport, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.