Vickers Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1933 Issued in AL

Legal business name

VICKERS CHIROPRACTIC, INC

Practice address

3940 Grants Mill Rd
Birmingham, AL 35210

Phone

(205) 951-2204

Fax

(205) 951-2242

NPI assigned

Aug 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Marvin Keron Vickers III, D.C.NPI 1639227481

Title

Owner

Phone

(205) 951-2204

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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

• Marvin Keron Vickers III, D.C.

  • Chiropractor
  • Birmingham, AL
  • NPI 1639227481
  Medicare reassignment Authorized official
• Richard William Rizzuto, D.C.

  • Chiropractor
  • Foley, AL
  • NPI 1710082763
  NPD (past)

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1942556576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 GRANTS MILL RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35210",
            "telephone_number": "205-951-2204",
            "fax_number": "205-951-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 GRANTS MILL RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35210",
            "telephone_number": "205-951-2204",
            "fax_number": "205-951-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKERS CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "KERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-951-2204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viasano Counseling, LLC
• Billy Joel Vice, R.N
• Jason Eugene Vice, OTR/L
• Olivia Nash Vice
• Matthew Gerard Vicinanzo, M.D.
• Bradley Perry Vickers, DMD
• Hannah Kate Vickers, RBT
• Kathryn Vickers, MD
• Laura Brasfield Vickers, OTR/L
• Maggie Morgan Vickers, MD

• Chiropractor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.