Broome County Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010001 Issued in NY

Legal business name

BROOME COUNTY CHIROPRACTIC, PC

Doing business as

BC Chiropractic

Practice address

3660 George F Hwy
Endwell, NY 13760-5932

Phone

(607) 754-5900

Fax

(607) 754-3170

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas K Sullivan, D.C.NPI 1477619625

Title

Chiropractor President

Phone

(607) 754-5900

Specialties & licenses 1

Addresses

Other names 1

• BC Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas K Sullivan, D.C.

  • Chiropractor
  • Endwell, NY
  • NPI 1477619625
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972634558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 GEORGE F HWY",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137605932",
            "telephone_number": "607-754-5900",
            "fax_number": "607-754-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 GEORGE F HWY",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137605932",
            "telephone_number": "607-754-5900",
            "fax_number": "607-754-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOME COUNTY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIROPRACTOR  PRESIDENT",
        "authorized_official_telephone_number": "607-754-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BC Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gloria J Block, FNP
• Alexis Bobal
• Eddie R Bowles, P.T.A.
• Bruce T Bowling, MD
• Bradrich Healthcare LLC
• Brenda J Brown, LCSW
• Caitlyn E Burford, MD
• Jamie Jo Carlson
• Lauren Castellucci, RD
• Nicholas Cataldo, PHARMD

• Chiropractor in Endwell, NY
• Providers in Endwell, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.