Active NPI
Franklin County Chiropractic Clinic, Inc
- Sports Physician Chiropractor
- Brookville, IN
National Provider Identifier
1972676435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 08007533
- Legal business name
- FRANKLIN COUNTY CHIROPRACTIC CLINIC, INC
- Practice address
- 1235 Franklin Ave
Brookville, IN 47012-1037 - Phone
- (765) 647-5332
- Fax
- (765) 647-5332
- NPI assigned
- Nov 15, 2006
- Last updated
- Jan 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Paul Bukofchan, D.C.
- Title
- President
- Phone
- (765) 647-5332
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 08007533 | IN | Primary |
Addresses
Primary practice location
1235 Franklin Ave
Brookville, IN 47012-1037
Mailing address
1235 Franklin Ave
P O Box 387
Brookville, IN 47012-1037
Phone (765) 647-5332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100365400A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Chiropractor
- Brookville, IN
- NPI 1568487577
-
- Orthopaedic Surgery Physician
- Johnson City, TN
- NPI 1578676920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421798400000",
"number": "1972676435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 FRANKLIN AVE",
"address_2": "P O BOX 387",
"city": "BROOKVILLE",
"state": "IN",
"postal_code": "470121037",
"telephone_number": "765-647-5332",
"fax_number": "765-647-5332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 FRANKLIN AVE",
"city": "BROOKVILLE",
"state": "IN",
"postal_code": "470121037",
"telephone_number": "765-647-5332",
"fax_number": "765-647-5332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANKLIN COUNTY CHIROPRACTIC CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2015-01-21",
"status": "A",
"authorized_official_last_name": "BUKOFCHAN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "765-647-5332",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "IN",
"license": "08007533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100365400A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookville, IN
- Douglas Engle, MD
- Rachel Farmer
- Fayette Memorial Hospital Association Inc. (Brookville Immediate Care)
- Calvin Eugene Finch, D.C.
- Forefront Dermatology, S.C.
- Franklin County Community School Corporation
- Franklin County Emergency Medical Services, Inc.
- Franklin County Government
- Franklin County Health Department
- Kayleigh Geiser, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.