Active NPI
Michael C Bishop, B.S, D.C.
- Nutrition Chiropractor
- Rockledge, FL
National Provider Identifier
1700900073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- CH7721
- Practice address
- 400 Barton Blvd
Suite 201
Rockledge, FL 32955-2710 - Phone
- (321) 633-1400
- Fax
- (321) 637-7057
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | CH7721 | FL | Primary |
Addresses
Primary practice location
400 Barton Blvd
Suite 201
Rockledge, FL 32955-2710
Mailing address
400 Barton Blvd
Suite 201
Rockledge, FL 32955-2710
Phone (321) 633-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381340100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Starza Inc | Past | Accepting new patients |
Organizations & group practices 1
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
- Rockledge, FL
- NPI 1396912408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1700900073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BARTON BLVD",
"address_2": "SUITE 201",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552710",
"telephone_number": "321-633-1400",
"fax_number": "321-637-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BARTON BLVD",
"address_2": "SUITE 201",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552710",
"telephone_number": "321-633-1400",
"fax_number": "321-637-7057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "MICHAEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "B.S, D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "FL",
"license": "CH7721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381340100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}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 Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.