Individual provider Active NPI

Barry M Gillman, D.C.

  • Chiropractor
  • Miami, FL
National Provider Identifier
1891091690
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4922 Issued in FL
Practice address
17325 NW 27TH Avenue
Suite 111
Miami, FL 33056
Phone
(305) 623-5939
Fax
(305) 623-1541
NPI assigned
Jan 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH4922 FL Primary

Addresses

Primary practice location

17325 NW 27TH Avenue
Suite 111
Miami, FL 33056

Mailing address

17325 NW 27TH Avenue
Suite 111
Miami, FL 33056
Phone (305) 623-5939

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
CH4922FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1891091690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 NW 27TH AVENUE",
            "address_2": "SUITE 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33056",
            "telephone_number": "305-623-5939",
            "fax_number": "305-623-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 NW 27TH AVENUE",
            "address_2": "SUITE 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33056",
            "telephone_number": "305-623-5939",
            "fax_number": "305-623-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLMAN",
        "first_name": "BARRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.