Individual provider Active NPI

Paul D Cundiff, DC

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1851043293
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13724 Issued in FL
Practice address
887 62ND Street Cir E Ste 101
Bradenton, FL 34208-6218
Phone
(941) 404-7684
NPI assigned
Jan 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13724 FL Primary

Addresses

Primary practice location

887 62ND Street Cir E Ste 101
Bradenton, FL 34208-6218

Mailing address

887 62ND Street Cir E Ste 101
Bradenton, FL 34208-6218
Phone (941) 404-7684

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220209001642 FL Practitioner - Chiropractic 3173916467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trilogy Chiropractic PLLCGroup PAC ID 1355734641, 3 clinicians

Practice addresses (Care Compare)

887 62ND St Cir E
Suite 101
Bradenton, FL 34208-6218
Phone (941) 404-7684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trilogy Chiropractic PLLC Chiropractor CurrentSince Mar 14, 2022 Accepting new patients

Locations

887 62nd Street Cir E
Ste 101
Bradenton, FL 34208
Phone (941) 404-7684

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.

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1851043293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 62ND STREET CIR E STE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342086218",
            "telephone_number": "941-404-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 62ND STREET CIR E STE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342086218",
            "telephone_number": "941-404-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDIFF",
        "first_name": "PAUL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.