Organization Active NPI

Bedford Chiropractic Clinic PC

  • Clinic/Center
  • Bedford, VA
National Provider Identifier
1831694405
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0104557198 Issued in VA
Legal business name
BEDFORD CHIROPRACTIC CLINIC PC
Practice address
1029 Turnpike Rd Ste C
Bedford, VA 24523-1811
Phone
(540) 586-5860
Fax
(540) 586-4930
NPI assigned
Mar 27, 2018
Last updated
Apr 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Linda Maria Selander, C.A.
Title
Office Manager
Phone
(540) 586-5860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0104557198 VA Primary

Addresses

Primary practice location

1029 Turnpike Rd Ste C
Bedford, VA 24523-1811

Mailing address

1029 Turnpike Rd Ste C
Bedford, VA 24523-1811
Phone (540) 586-5860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180417001086 VA Part B Supplier - Clinic/Group Practice 3678836012 Receives reassigned benefits from 2 practitioners
Practice locations: Bedford, VA

National Provider Directory

National Provider Directory

Locations

1029 Turnpike Rd
Ste C
Bedford, VA 24523
Phone (540) 586-5860

1029 Turnpike Rd
Ste K
Bedford, VA 24523
Phone (540) 586-5860

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1831694405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 TURNPIKE RD STE C",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231811",
            "telephone_number": "540-586-5860",
            "fax_number": "540-586-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 TURNPIKE RD STE C",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231811",
            "telephone_number": "540-586-5860",
            "fax_number": "540-586-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "SELANDER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-586-5860",
        "authorized_official_credential": "C.A."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0104557198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.