Active NPI
Richard B Bull, D.C.
- Chiropractor
- Fort Wayne, IN
National Provider Identifier
1871589945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001415A
- Practice address
- 7910 Coldwater Rd
Fort Wayne, IN 46825-3412 - Phone
- (260) 489-3636
- Fax
- (260) 489-3611
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001415A | IN | Primary |
Addresses
Primary practice location
7910 Coldwater Rd
Fort Wayne, IN 46825-3412
Mailing address
7910 Coldwater Rd
Fort Wayne, IN 46825-3412
Phone (260) 489-3636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383841 | Other | IN | ANTHEM PIN # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001415A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bull Chiropractic Woodburn | Chiropractor | Current | Accepting new patients |
| Chiropractic Resource Center | Chiropractor | Past | Accepting new patients |
| Spinal Healthcare and Physical Medicine LLC | Past | Accepting new patients | |
| Dupont Chiropractic Resource Center Inc. | Chiropractor | Past | Accepting new patients |
Locations
7910 Coldwater Rd
Fort Wayne, IN 46825
Phone (260) 489-3636
Organizations & group practices 4
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.
-
- Chiropractor
- Woodburn, IN
- NPI 1730368861
-
- Chiropractor
- New Haven, IN
- NPI 1124120373
-
- Chiropractor
- Fort Wayne, IN
- NPI 1184929010
-
- Family Medicine Physician
- New Haven, IN
- NPI 1437436045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871589945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7910 COLDWATER RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468253412",
"telephone_number": "260-489-3636",
"fax_number": "260-489-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 COLDWATER RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468253412",
"telephone_number": "260-489-3636",
"fax_number": "260-489-3611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULL",
"first_name": "RICHARD",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001415A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN #",
"identifier": "383841",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.