Organization Active NPI

Prestige Chiropractic LLC

  • Chiropractor
  • Birmingham, AL
National Provider Identifier
1881409506
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PRESTIGE CHIROPRACTIC LLC
Practice address
3560 Grandview Pkwy Apt 2516
Birmingham, AL 35243-2224
Phone
(910) 471-2440
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Dr. Tyler Mark Bowersox, DCNPI 1336941376
Title
Owner
Phone
(910) 471-2440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3560 Grandview Pkwy Apt 2516
Birmingham, AL 35243-2224

Mailing address

3560 Grandview Pkwy Apt 2516
Birmingham, AL 35243-2224
Phone (910) 471-2440

Other names 1

  • Prestige Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1881409506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 GRANDVIEW PKWY APT 2516",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432224",
            "telephone_number": "910-471-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 GRANDVIEW PKWY APT 2516",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432224",
            "telephone_number": "910-471-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "BOWERSOX",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-471-2440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.