Active NPI
Tyler Bunn, DC
- Chiropractor
- Gardendale, AL
National Provider Identifier
1730692385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2555
- Practice address
- 1080 Main Street
Gardendale, AL 35071-3507 - Phone
- (205) 631-2433
- Fax
- (205) 631-9124
- NPI assigned
- Nov 6, 2017
- Last updated
- Nov 6, 2017
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2555 | AL | Primary |
Addresses
Primary practice location
1080 Main Street
Gardendale, AL 35071-3507
Mailing address
PO Box 1111
Gardendale, AL 35071-1111
Phone (205) 631-2433
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2555 | AL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Oasis of Gardendale, LLC | Chiropractor | Current | Accepting new patients |
Locations
1080 Main St
Gardendale, AL 35071
Phone (205) 631-2433
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Gardendale, AL
- NPI 1689331423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509926400000",
"number": "1730692385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1111",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350711111",
"telephone_number": "205-631-2433",
"fax_number": "205-631-9124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 MAIN STREET",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350713507",
"telephone_number": "205-631-2433",
"fax_number": "205-631-9124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNN",
"first_name": "TYLER",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-06",
"last_updated": "2017-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardendale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.