Individual provider Active NPI

Jeffrey Erdman Buller, D.C.,D.A.C.S.

  • Chiropractor
  • Rochester Hills, MI
National Provider Identifier
1972630465
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004622 Issued in MI
Practice address
294 W Tienken Rd
Rochester Hills, MI 48306-4404
Phone
(248) 652-9191
Fax
(248) 652-9739
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004622 MI Primary

Addresses

Primary practice location

294 W Tienken Rd
Rochester Hills, MI 48306-4404

Mailing address

294 W Tienken Rd
Rochester Hills, MI 48306-4404
Phone (248) 652-9191

Other identifiers 2

IdentifierTypeStateIssuer
0F35234OtherMIBCBS OF MI
5902400OtherMIAETNA PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090123000547 MI Practitioner - Chiropractic 3971667668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Buller Chiropractic Clinic PLCGroup PAC ID 7517021124, 2 clinicians

Practice addresses (Care Compare)

294 W Tienken Rd
Rochester Hills, MI 48306-4404
Phone (248) 652-9191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Buller Chiropractic Clinic, PLC Chiropractor CurrentSince Jul 13, 1982 Accepting new patients

Locations

294 W Tienken Rd
Rochester Hills, MI 48306
Phone (248) 652-9191

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972630465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 W TIENKEN RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064404",
            "telephone_number": "248-652-9191",
            "fax_number": "248-652-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 W TIENKEN RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064404",
            "telephone_number": "248-652-9191",
            "fax_number": "248-652-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLER",
        "first_name": "JEFFREY",
        "middle_name": "ERDMAN",
        "name_prefix": "Dr.",
        "credential": "D.C.,D.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "0F35234",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "5902400",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, 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.

Verify at the official NPI Registry.