Donnel Bernard Eddy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557360 Issued in VA

Practice address

104 Melbourne Park Cir Apt a
Charlottesville, VA 22901-3923

Phone

(434) 977-9797

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1841400280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MELBOURNE PARK CIR APT A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229013923",
            "telephone_number": "434-977-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MELBOURNE PARK CIR APT A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229013923",
            "telephone_number": "434-977-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "DONNEL",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009775",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP PROVIDER NUMBER",
            "identifier": "10082112",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC PROVIDER  #",
            "identifier": "X6T37",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha N Eckstein, MA, BCBA
• Alexander Thomas Eckstrom, MD
• Ed a Akeel
• Carolyn Eddins, N.P.
• Crystal M Edds-McAfee, PNP
• Ryan Michael Eddy, ATC
• Rachel Edelstein, CNM
• Clara S Eden, MD
• Nicole Lee Edmonds
• Drew Edmondson, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.