Active NPI
Roshun Demonz Glover, D.C
- Chiropractor
- Bessemer, AL
National Provider Identifier
1811395379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2523
- Practice address
- 5031 Ford Pkwy Ste 112
Bessemer, AL 35022-5286 - Phone
- (205) 519-4024
- NPI assigned
- Dec 16, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2523 | AL | Primary |
Addresses
Primary practice location
5031 Ford Pkwy Ste 112
Bessemer, AL 35022-5286
Mailing address
5031 Ford Pkwy Ste 112
Bessemer, AL 35022-5286
Phone (205) 519-4024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211213000207 | AL | Practitioner - Chiropractic | 6901124395 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1729 | LA | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town & Country Spinal Pain Center | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Bessemer, AL
- NPI 1629180880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1811395379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5031 FORD PKWY STE 112",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350225286",
"telephone_number": "205-519-4024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5031 FORD PKWY STE 112",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350225286",
"telephone_number": "205-519-4024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "ROSHUN",
"middle_name": "DEMONZ",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-16",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.