NPIMap

Organization Active NPI

Birmingham Wellness Center PLLC

  • Chiropractor
  • Birmingham, MI
National Provider Identifier
1740319102
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007286 Issued in MI
Legal business name
BIRMINGHAM WELLNESS CENTER PLLC
Practice address
219 Elm St
Birmingham, MI 48009-6341
Phone
(248) 645-6070
Fax
(248) 645-2949
NPI assigned
Mar 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Mrs. Jennifer Lynn Turnbull-Bonde, DCNPI 1922176866
Title
Owner
Phone
(248) 645-6070

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007286 MI Primary

Addresses

Primary practice location

219 Elm St
Birmingham, MI 48009-6341

Mailing address

219 Elm St
Birmingham, MI 48009-6341
Phone (248) 645-6070

Other identifiers 1

IdentifierTypeStateIssuer
0F33870OtherMIBCBS OF MI PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071212000509 MI Part B Supplier - Clinic/Group Practice 9032209200 Receives reassigned benefits from 4 practitioners
Practice locations: Birmingham, MI

National Provider Directory

National Provider Directory

Locations

34100 Woodward Ave
Ste 100
Birmingham, MI 48009
Phone (248) 645-6070

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1740319102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 ELM ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096341",
            "telephone_number": "248-645-6070",
            "fax_number": "248-645-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 ELM ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096341",
            "telephone_number": "248-645-6070",
            "fax_number": "248-645-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "TURNBULL-BONDE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-645-6070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI  PROVIDER NUMBER",
            "identifier": "0F33870",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.