NPIMap

Organization Active NPI

Bull Clinic P.C.

  • Chiropractor
  • Port Byron, IL
National Provider Identifier
1982976932
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.007268 Issued in IL
Legal business name
BULL CLINIC P.C.
Practice address
1010 Rosehill Rd
Port Byron, IL 61275-9686
Phone
(309) 523-3491
Fax
(309) 523-3670
NPI assigned
Feb 7, 2012
Last updated
Feb 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Dr. David Lee Bull, D.C.NPI 1811098619
Title
President
Phone
(309) 523-3491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.007268 IL Primary

Addresses

Primary practice location

1010 Rosehill Rd
Port Byron, IL 61275-9686

Mailing address

1010 Rosehill Rd
Port Byron, IL 61275-9686
Phone (309) 523-3491

Other identifiers 1

IdentifierTypeStateIssuer
535320OtherILP10

National Provider Directory

National Provider Directory

Locations

1010 Rosehill Rd
Port Byron, IL 61275
Phone (309) 523-3491

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1982976932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 ROSEHILL RD",
            "city": "PORT BYRON",
            "state": "IL",
            "postal_code": "612759686",
            "telephone_number": "309-523-3491",
            "fax_number": "309-523-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 ROSEHILL RD",
            "city": "PORT BYRON",
            "state": "IL",
            "postal_code": "612759686",
            "telephone_number": "309-523-3491",
            "fax_number": "309-523-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULL CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "BULL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-523-3491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.007268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P10",
            "identifier": "535320",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Byron, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.