Active NPI
Brian J. Kulbieda, D.C.
- Chiropractor
- Marquette, MI
National Provider Identifier
1962407403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- BK008347
- Practice address
- 1300 W Ridge St Ste 1
Marquette, MI 49855-3194 - Phone
- (906) 226-3663
- Fax
- (906) 226-2956
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | BK008347 | MI | Primary |
Addresses
Primary practice location
1300 W Ridge St Ste 1
Marquette, MI 49855-3194
Mailing address
1300 W Ridge St Ste 1
Marquette, MI 49855-3194
Phone (906) 226-3663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060501000303 | MI | Practitioner - Chiropractic | 3779593199 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1300 W Ridge St
Suite 1
Marquette, MI 49855-2142
Phone (906) 226-3663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BK008347 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axis Chiropractic P.C. | Chiropractor | Current | Accepting new patients |
Locations
1300 W Ridge St
Ste 1
Marquette, MI 49855
Phone (906) 226-3663
Interoperability endpoints
- bjk0629@acp0008.direct.chirotouch.md
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Marquette, MI
- NPI 1154548907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962407403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W RIDGE ST STE 1",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498553194",
"telephone_number": "906-226-3663",
"fax_number": "906-226-2956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W RIDGE ST STE 1",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498553194",
"telephone_number": "906-226-3663",
"fax_number": "906-226-2956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULBIEDA",
"first_name": "BRIAN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "BK008347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.