BERNARD P. BUBANIC (NPI# 1629174222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629174222 |
| Entity Type | Individual |
| Full Name | BERNARD P. BUBANIC |
| Credential | DC DACBSP |
| Practice Address |
4082 Fulton Drive Nw Canton OH 44718 |
| Practice Telephone | 3304918100 |
| Practice Fax Number | 8445722173 |
| Mailing Telephone | 3304918100 |
| Mailing Fax Number | 8445722173 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
1307 | OH | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0701351 | 05 |
| Street Address |
4082 FULTON DRIVE NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912187758 | Bubanic Chiropractic Inc. | Chiropractor | 4082 Fulton Drive Nw, Canton, OH 44718 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| 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 |
|---|---|---|---|---|
| 1306996731 | Robert A. Portillo | Chiropractor | 3755 Sixes Rd Ste 100, Canton, GA 30114-7856 | 2007-01-10 |
| 1437218492 | Mcbrearty Family & Sport Chiropractic,llc | Chiropractor | 807 30th St Ne, Canton, OH 44714-1404 | 2006-12-06 |
| 1760557169 | Michael W Maley | Chiropractor | 2966 Harrisburg Rd Ne, Canton, OH 44705-2562 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255833117 | Synergy Chiropractic, LLC | Chiropractor | 790 Lafayette Rd Ste 1, Medina, OH 44256-2434 | 2018-03-06 |
| 1346600319 | Chad Teague | Chiropractor | 6096 Pinecone Dr, Mentor, OH 44060-1865 | 2016-03-03 |
| 1528302536 | Alan James Bundza | Chiropractor | 74 Piccadilly St, Campbell, OH 44405-1915 | 2012-11-15 |
| 1992049985 | Shoshana S Loerch | Chiropractor | 500 E Royalton Rd Ste 110, Broadview Heights, OH 44147-2592 | 2012-11-15 |
| 1790920064 | Pinnacle Chiropractic Health and Wellness Center of Brimfield, LLC | Chiropractor | 4494 State Route 43, F1, Kent, OH 44240-8206 | 2008-12-15 |
| 1154587483 | Wards Corner Chiropractic, Inc. | Chiropractor | 550 Wards Corner Rd., Suite 101, Loveland, OH 45140-6149 | 2008-08-06 |
| 1740308303 | Michael Anthony Turkali | Chiropractor | 1459 E County Line Rd, Mineral Ridge, OH 44440-9553 | 2007-03-26 |
| 1427180850 | Thiel Chiropractic Incorporated | Chiropractor | 1003 Blanchard Avenue, Findlay, OH 45840 | 2007-03-12 |
| 1427189323 | Kevin Patrick Reilly | Chiropractor | 1245 W 5th Ave, Columbus, OH 43212-2507 | 2007-03-09 |
| 1639208101 | Kevin Hoy | Chiropractor | 10762 Valley View Rd, Northfield, OH 44067-1435 | 2007-03-02 |
| Find all providers with the same taxonomy | ||||
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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.