NPIMap

Organization Active NPI

Bulloch Chiropractic

  • Chiropractor
  • Statesboro, GA
National Provider Identifier
1881849305
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005868 Issued in GA
Legal business name
BULLOCH CHIROPRACTIC
Practice address
125 N College St
Statesboro, GA 30458-5387
Phone
(912) 489-2888
Fax
(912) 489-2888
NPI assigned
Nov 25, 2008
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Cary Balzer, D.C.NPI 1740298009
Title
President
Phone
(912) 489-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR005868 GA Primary

Addresses

Primary practice location

125 N College St
Statesboro, GA 30458-5387

Mailing address

125 N College St
Statesboro, GA 30458-5387
Phone (912) 489-2888

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1881849305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N COLLEGE ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585387",
            "telephone_number": "912-489-2888",
            "fax_number": "912-489-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N COLLEGE ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585387",
            "telephone_number": "912-489-2888",
            "fax_number": "912-489-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLOCH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "BALZER",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-489-2888",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.