Organization Active NPI

Balance Medical, LLC

Doing business as Balance Medical Center

  • General Practice Physician
  • Pensacola, FL
National Provider Identifier
1952754095
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
60612 Issued in FL
Legal business name
BALANCE MEDICAL, LLC
Doing business as
Balance Medical Center
Practice address
5559 N Davis Hwy
Suite B
Pensacola, FL 32503-2048
Phone
(850) 475-2676
Fax
(850) 475-2679
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Dr. Don C Carlock Jr., D.C.
Title
Owner
Phone
(850) 475-2676

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 7173 FL
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 60612 FL Primary

Addresses

Primary practice location

5559 N Davis Hwy
Suite B
Pensacola, FL 32503-2048

Mailing address

5559 N Davis Hwy
Suite B
Pensacola, FL 32503-2048
Phone (850) 475-2676

Other names 1

  • Balance Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1952754095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5559 N DAVIS HWY",
            "address_2": "SUITE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032048",
            "telephone_number": "850-475-2676",
            "fax_number": "850-475-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5559 N DAVIS HWY",
            "address_2": "SUITE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032048",
            "telephone_number": "850-475-2676",
            "fax_number": "850-475-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "CARLOCK",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-475-2676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "7173",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "60612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balance Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.