NPIMap

Organization Active NPI

Victory Injury Centers

  • Sports Physician Chiropractor
  • Fort Worth, TX
National Provider Identifier
1750516274
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
9203 Issued in TX
Legal business name
VICTORY INJURY CENTERS
Practice address
4634 Camp Bowie Blvd
Fort Worth, TX 76107-3744
Phone
(817) 735-3839
Fax
(817) 735-3837
NPI assigned
May 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Mr. Brian Ronald Saul, D.C.NPI 1982738159
Title
Owner
Phone
(817) 735-3839

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 9203 TX Primary

Addresses

Primary practice location

4634 Camp Bowie Blvd
Fort Worth, TX 76107-3744

Mailing address

4634 Camp Bowie Blvd
Fort Worth, TX 76107-3744
Phone (817) 735-3839

National Provider Directory

National Provider Directory
Tax ID family
Victory Injury Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1750516274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4634 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073744",
            "telephone_number": "817-735-3839",
            "fax_number": "817-735-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4634 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073744",
            "telephone_number": "817-735-3839",
            "fax_number": "817-735-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY INJURY CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "SAUL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-735-3839",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "9203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.