Bula Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

301035 Issued in WI

Legal business name

BULA CHIROPRACTIC LLC

Practice address

537 Field St
Antigo, WI 54409-2229

Phone

(715) 623-1191

Fax

(715) 623-1191

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stacy M Bula, DCNPI 1245262021

Title

Doctor

Phone

(715) 623-1191

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bula Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy M Bula, DC

  • Chiropractor
  • Antigo, WI
  • NPI 1245262021
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720101124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 FIELD ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092229",
            "telephone_number": "715-623-1191",
            "fax_number": "715-623-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 FIELD ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092229",
            "telephone_number": "715-623-1191",
            "fax_number": "715-623-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BULA",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "715-623-1191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "301035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38939200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bula Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary R Brayton, MS, OTR
• Stanley Ernest Brown, D.D.S.
• Angela Buchman, PA
• Mark G Buchman, MS, OTR
• Lynda Kay Buckner
• Stacy M Bula, DC
• Central Wisconsin Oral and Facial Surgery, LLC
• Emily Christianson, RDH
• City of Antigo
• Complete Dental Center, S.C.

• All providers in Antigo, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.