Chase Bollig, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104-557380 Issued in VA

Practice address

6546 Hampton Roads Pkwy
Suffolk, VA 23435-3185

Phone

(757) 642-4945

Fax

(757) 642-4945

NPI assigned

Apr 23, 2014

Last updated

Dec 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spinal Source Chiropractic LLCGroup PAC ID 2163707738, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Spinal Source Chiropractic LLC

  • Chiropractor
  • Suffolk, VA
  • NPI 1982061487
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1801216304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 SANDALWOOD RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511324",
            "telephone_number": "913-787-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6546 HAMPTON ROADS PKWY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353185",
            "telephone_number": "757-642-4945",
            "fax_number": "757-642-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLIG",
        "first_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11140",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa J Bobbio
• Kaitlyn Boccella, PA-C
• Boldens Innovative Healthcare LLC (Bold N Gams Health Wellness)
• Leigh-Anna Boles
• Brenda Bollenberg
• Taylor Anne Bollig, D.C.
• Bon Secours Maryview Nursing Care Center
• Bon Secours Maryview Nursing Care Center LLC
• Bon Secours Medical Group Hampton Roads Specialty Care LLC (Southampton Orthopaedic and Sports Medicine Center)
• Bon Secours Medical Group Hampton Roads Specialty Care LLC (Southampton Orthopaedic and Sports Medicine Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.