Individual provider Active NPI

Lee A Bullington, DC

  • Chiropractor
  • Goodlettsville, TN
National Provider Identifier
1861541971
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0000001486 Issued in TN
Practice address
100 N Main St
Ste D
Goodlettsville, TN 37072
Phone
(615) 851-2038
Fax
(615) 851-8742
NPI assigned
Jan 9, 2007
Last updated
May 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0000001486 TN Primary

Addresses

Primary practice location

100 N Main St
Ste D
Goodlettsville, TN 37072

Mailing address

100 N Main St
Ste D
Goodlettsville, TN 37072
Phone (615) 851-2038

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804001923 TN Practitioner - Chiropractic 2961473632 Practice locations: Godlettsville, TN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 E Cedar St
Godlettsville, TN 37072-1434
Phone (615) 851-2038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000001486TNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1861541971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "address_2": "STE D",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "37072",
            "telephone_number": "615-851-2038",
            "fax_number": "615-851-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "address_2": "STE D",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "37072",
            "telephone_number": "615-851-2038",
            "fax_number": "615-851-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLINGTON",
        "first_name": "LEE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "0000001486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.