Individual provider Active NPI

Vignir Thor Bollason, D.C.

  • Chiropractor
  • Homewood, AL
National Provider Identifier
1861947004
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2510 Issued in AL
Practice address
1807 Oxmoor Rd
Homewood, AL 35209-3505
Phone
(205) 803-1234
Fax
(205) 803-2137
NPI assigned
Aug 17, 2016
Last updated
Aug 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2510 AL Primary

Addresses

Primary practice location

1807 Oxmoor Rd
Homewood, AL 35209-3505

Mailing address

1807 Oxmoor Rd
Homewood, AL 35209-3505
Phone (205) 803-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2510ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Built-in I Past Accepting new patients

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, 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": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1861947004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 OXMOOR RD",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352093505",
            "telephone_number": "205-803-1234",
            "fax_number": "205-803-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 OXMOOR RD",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352093505",
            "telephone_number": "205-803-1234",
            "fax_number": "205-803-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLASON",
        "first_name": "VIGNIR",
        "middle_name": "THOR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.