NPIMap

Organization Active NPI

Dr. Scott J Birckbichler LLC

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1902018286
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001955 Issued in VA
Legal business name
DR. SCOTT J BIRCKBICHLER LLC
Practice address
485 S Independence Blvd
Suite 111
Virginia Beach, VA 23452-1129
Phone
(757) 497-8200
Fax
(757) 497-8202
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Dr. Scott John Birckbichler, DCNPI 1386650281
Title
President
Phone
(757) 497-8200

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 0104001955 VA Primary

Addresses

Primary practice location

485 S Independence Blvd
Suite 111
Virginia Beach, VA 23452-1129

Mailing address

485 S Independence Blvd
Suite 111
Virginia Beach, VA 23452-1129
Phone (757) 497-8200

Other identifiers 2

IdentifierTypeStateIssuer
199721OtherVABCBS
5685214OtherVACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070423000587 VA Part B Supplier - Clinic/Group Practice 8123122017 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

485 S Independence Blvd
#11
Virginia Beach, VA 23452

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1902018286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 S INDEPENDENCE BLVD",
            "address_2": "SUITE 111",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521129",
            "telephone_number": "757-497-8200",
            "fax_number": "757-497-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S INDEPENDENCE BLVD",
            "address_2": "SUITE 111",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521129",
            "telephone_number": "757-497-8200",
            "fax_number": "757-497-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SCOTT J BIRCKBICHLER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "BIRCKBICHLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-497-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "199721",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5685214",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.