DR. BENJAMIN BUMGUARDNER (NPI# 1508303017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508303017 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN BUMGUARDNER |
| Credential | D.C. |
| Practice Address |
650 William D Fitch Pkwy Suite 200 College Station TX 77845-7452 |
| Mailing Address |
807 Navarro Dr Apt B College Station TX 77845-6649 |
| Practice Telephone | 9793982787 |
| Mailing Telephone | 3256603266 |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
13391 | TX | Chiropractic Providers |
| Street Address |
650 WILLIAM D FITCH PKWY SUITE 200 |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-7452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962949743 | Alpha Chiro Sports, LLC | Chiropractor | 650 William D Fitch Pkwy, Suite 200, College Station, TX 77845-7452 | 2017-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962949743 | Alpha Chiro Sports, LLC | Chiropractor | 650 William D Fitch Pkwy, Suite 200, College Station, TX 77845-7452 | 2017-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385391 | South Texas Sports Chiropractic | Chiropractor | 6635 S Staples St Apt 1815, Corpus Christi, TX 78413-5417 | 2020-11-01 |
| 1740806819 | Dannug Management, LLC | Chiropractor | 9720 Cypresswood Dr Ste 130, Houston, TX 77070-3557 | 2020-06-24 |
| 1134742125 | Kayla Keck | Chiropractor | 7200 Meadow Hill Dr, Frisco, TX 75033-2031 | 2020-05-25 |
| 1942821368 | Stark Chiropractic & Sports, Pllc | Chiropractor | 5625 Fm 1960 Rd W Ste 400, Houston, TX 77069-4211 | 2020-04-27 |
| 1558994996 | Scott David Kimbell | Chiropractor | 3303 Northland Dr Ste 301, Austin, TX 78731-4956 | 2020-02-13 |
| 1194356394 | Kali Mccormick | Chiropractor | 4570 Fm 720, Aubrey, TX 76227-8256 | 2020-01-28 |
| 1467001958 | Catalyst Hl&p, LLC. | Chiropractor | 5177 Richmond Ave Ste 110, Houston, TX 77056-6764 | 2019-09-06 |
| 1487219101 | Moriam Adigun | Chiropractor | 747 N Shepherd Dr, Houston, TX 77007-1335 | 2019-05-08 |
| 1528534518 | Eric Trager | Chiropractor | 5530 Ih 35 S, New Braunfels, TX 78132-4945 | 2018-10-17 |
| 1780150797 | The Pit Fitness & Rehab | Chiropractor | 324 E Belt Line Rd Ste 800, Desoto, TX 75115-5706 | 2018-10-17 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.