Organization Active NPI

Premier Chiropractic Center, LLC

  • Chiropractor
  • Bessemer, AL
National Provider Identifier
1972113215
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PREMIER CHIROPRACTIC CENTER, LLC
Practice address
5031 Ford Pkwy Ste 112
Bessemer, AL 35022-5286
Phone
(205) 747-3065
NPI assigned
Aug 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

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

Authorized official

Name
Mr. Roshun Glover Sr.
Title
Owner
Phone
(601) 260-2487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5031 Ford Pkwy Ste 112
Bessemer, AL 35022-5286

Mailing address

PO Box 40
Bessemer, AL 35021-0040

National Provider Directory

National Provider Directory

Locations

5031 Ford Pkwy
Ste 112
Bessemer, AL 35022
Phone (205) 425-5428

Practitioners & affiliated clinicians

Practitioners 2

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": "1596326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596326400000",
    "number": "1972113215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350210040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 FORD PKWY STE 112",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225286",
            "telephone_number": "205-747-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-02",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "ROSHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-260-2487",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; 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.