Individual provider Active NPI

Barbara Elisabet Bloomquist, DC

  • Chiropractor
  • Millbrook, AL
National Provider Identifier
1750916995
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2636 Issued in AL
Practice address
3363 Highway 14
Millbrook, AL 36054-2424
Phone
(334) 285-8483
Fax
(844) 654-7165
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2636 AL Primary

Addresses

Primary practice location

3363 Highway 14
Millbrook, AL 36054-2424

Mailing address

6770 Spring Valley Dr
Elmore, AL 36025-2026
Phone (334) 652-2660

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdp@msc.softworxdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200410001289 AL Practitioner - Chiropractic 3577992619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millbrook Family Chiropractic LLCGroup PAC ID 9133143753, 2 clinicians

Practice addresses (Care Compare)

3363 Hwy 14
Millbrook, AL 36054-2424
Phone (334) 285-8483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Millbrook Family Chiropractic LLC Chiropractor CurrentSince Mar 3, 2020 Accepting new patients

Locations

3363 Highway 14
Millbrook, AL 36054
Phone (334) 285-8483

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.

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1750916995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 SPRING VALLEY DR",
            "city": "ELMORE",
            "state": "AL",
            "postal_code": "360252026",
            "telephone_number": "334-652-2660",
            "fax_number": "844-654-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 HIGHWAY 14",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360542424",
            "telephone_number": "334-285-8483",
            "fax_number": "844-654-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMQUIST",
        "first_name": "BARBARA",
        "middle_name": "ELISABET",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdp@msc.softworxdirect.com",
            "affiliation": "Y",
            "address_1": "3363 Highway 14",
            "city": "Millbrook",
            "state": "AL",
            "country_code": "US",
            "postal_code": "360542424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Millbrook, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.