Robert Gump IV, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557731 Issued in VA

Practice address

13850 Booker T Washington Hwy
Moneta, VA 24121-6205

Phone

(540) 719-0821

Fax

(540) 719-0978

NPI assigned

Aug 17, 2021

Last updated

Mar 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

122 Chiropractic Corp.Group PAC ID 7315358694, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• 122 Chiropractic Corp.

  • Chiropractor
  • Moneta, VA
  • NPI 1831790351
  Medicare reassignment Care Compare group NPD
• Tuck Chiropractic Corporation

  dba Tuck WorkWell

  • Family Medicine Physician
  • Roanoke, VA
  • NPI 1578155610
  NPD (past)
• Tuck Clinic of Chiropractic

  • Chiropractor
  • Pulaski, VA
  • NPI 1447317870
  NPD (past)

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1871269209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13850 BOOKER T WASHINGTON HWY",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241216205",
            "telephone_number": "540-719-0821",
            "fax_number": "540-719-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13850 BOOKER T WASHINGTON HWY",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241216205",
            "telephone_number": "540-719-0821",
            "fax_number": "540-719-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMP",
        "first_name": "ROBERT",
        "name_suffix": "IV",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Namarta Gill
• Lauren N Gilman, DPT, PT
• Jazmin Mecarra Gray, PA-C
• Ronald G Greer, MS/PT/OTR
• Phillip Eugene Gruber, R.PH.
• Samantha Gump, DC
• Christine Ann Haessler, RPH
• Leonard Hammond
• Diane Rose Hancock, LPTA
• Patricia H Hayes, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.