Michael S Burgoon DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001967 Issued in VA

Legal business name

MICHAEL S BURGOON DC PC

Doing business as

Towers Family Chiropractic

Practice address

2302 Colonial Ave SW
Suite a
Roanoke, VA 24015

Phone

(540) 343-6636

Fax

(540) 343-6670

NPI assigned

Oct 27, 2006

Last updated

Jul 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael S Burgoon, DCNPI 1043395825

Title

President Ceo of Corporation

Phone

(540) 343-6636

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Towers Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

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.

• Michael Burgoon, DC

  • Chiropractor
  • Roanoke, VA
  • NPI 1043395825
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Sanders, D.C.

  • Chiropractor
  • Roanoke, VA
  • NPI 1336950385
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1770668550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 COLONIAL AVE SW",
            "address_2": "SUITE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24015",
            "telephone_number": "540-343-6636",
            "fax_number": "540-343-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 COLONIAL AVE SW",
            "address_2": "SUITE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24015",
            "telephone_number": "540-343-6636",
            "fax_number": "540-343-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S BURGOON DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "BURGOON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT CEO OF CORPORATION",
        "authorized_official_telephone_number": "540-343-6636",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "292833",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO MEDICARE",
            "identifier": "P00008229",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Towers Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Meyer, MD
• Nancy Lynn Meyer, D.C.
• Roy Lee Meyers III, MD
• MH Health Care Services, PC
• MH Health Care Services, PC
• Kristen Micheal
• Elizabeth B Mick, FNP
• Cassandra Mierisch, M. D.
• Melissa Lundy Milam
• Thomas Richerson Milam, MD

• Chiropractor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.