Organization Active NPI

Magna Chiro Med, LLC

  • Chiropractor
  • Bowling Green, KY
National Provider Identifier
1821143009
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4950 Issued in KY
Legal business name
MAGNA CHIRO MED, LLC
Practice address
2424 Airway Dr
Suite B
Bowling Green, KY 42103-7125
Phone
(270) 746-9400
Fax
(270) 746-0240
NPI assigned
Jan 25, 2007
Last updated
Feb 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Ms. Kelli Brown
Title
Office Manager
Phone
(270) 746-9400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4950 KY Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2424 Airway Dr
Suite B
Bowling Green, KY 42103-7125

Mailing address

2424 Airway Dr
Suite B
Bowling Green, KY 42103-7125
Phone (270) 746-9400

Other names 1

  • Magna Chiropractic, LLC Other name

National Provider Directory

National Provider Directory

Locations

1647 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 715-7000

165 Natchez Trace Ave
Ste 201
Bowling Green, KY 42103
Phone (270) 746-9400

122 Memorial Dr
Franklin, KY 42134
Phone (270) 586-3424

Practitioners & affiliated clinicians

Practitioners 5

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1821143009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 AIRWAY DR",
            "address_2": "SUITE B",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037125",
            "telephone_number": "270-746-9400",
            "fax_number": "270-746-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 AIRWAY DR",
            "address_2": "SUITE B",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037125",
            "telephone_number": "270-746-9400",
            "fax_number": "270-746-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNA CHIRO MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-746-9400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4950",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magna Chiropractic, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.