Individual provider Active NPI

Melinda Kay Bruxvoort, DC

  • Chiropractor
  • Middleville, MI
National Provider Identifier
1851685408
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009760 Issued in MI
Practice address
111 S Broadway St
Middleville, MI 49333-9167
Phone
(269) 205-2300
Fax
(269) 205-2301
NPI assigned
May 31, 2011
Last updated
Feb 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007372 IA
Chiropractor 111N00000X 2301009760 MI Primary

Addresses

Primary practice location

111 S Broadway St
Middleville, MI 49333-9167

Mailing address

3409 Burton Ridge Rd SE
Apt E
Grand Rapids, MI 49546-5824
Phone (319) 621-8544

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110907000951 MI Practitioner - Chiropractic 0547430282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craft Chiropractic Center PCGroup PAC ID 3274514799, 4 clinicians

Practice addresses (Care Compare)

111 S Broadway St
Middleville, MI 49333-9167
Phone (269) 205-2300

223 Lansing St
Charlotte, MI 48813-1605
Phone (517) 543-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007372IAMDChiropractor
2301009760MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Craft Chiropractic Center PC Chiropractor Current Accepting new patients
Spartan Family Chiropractic, Inc Past Accepting new patients

Locations

223 Lansing St
Charlotte, MI 48813
Phone (517) 543-1115

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1851685408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 BURTON RIDGE RD SE",
            "address_2": "APT E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465824",
            "telephone_number": "319-621-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S BROADWAY ST",
            "city": "MIDDLEVILLE",
            "state": "MI",
            "postal_code": "493339167",
            "telephone_number": "269-205-2300",
            "fax_number": "269-205-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUXVOORT",
        "first_name": "MELINDA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007372",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.