BUZZARDS BAY CHIROPRACTIC, P.C. — NPI 1174776058 (Licensed & Credentialed Chiropractic Providers — Chiropractor, Orthopedic in BUZZARDS BAY, MA)

CMS-1500 Box 24J / 33a • NPI

1174776058

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

111NX0800X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor, Orthopedic

Box 32 Service Location & ZIP+4

196 MAIN STREET, BUZZARDS BAY, MA, 02563

Official NPPES Practice Location

Practice Phone & Referral Fax

(508) 759-8852

Fax: (508) 759-0192

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1174776058 (BUZZARDS BAY CHIROPRACTIC, P.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1174776058` (NPI-2 Organization / Facility)
Provider / Legal Name	BUZZARDS BAY CHIROPRACTIC, P.C.
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor, Orthopedic NUCC Code: `111NX0800X` (Chiropractor, Orthopedic)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	196 MAIN STREET, BUZZARDS BAY, MA, 02563
Practice Telephone / Fax	Tel: (508) 759-8852 \| Fax: (508) 759-0192
Administrative Mailing Address	196 MAIN STREET, BUZZARDS BAY, MA, 02532
Enumeration & Last Sync	Enumerated: 2008-10-23 \| CMS Record Updated: 2009-01-29
Authorized Official	DAVID FISHER (Owner/Physician)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

196 MAIN STREET, BUZZARDS BAY, MA, 02563

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Plain-English Taxonomy & CMS Crosswalk (111NX0800X)

What Does Taxonomy Code 111NX0800X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NX0800X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Orthopedic"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Orthopedic for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BUZZARDS BAY CHIROPRACTIC, P.C.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111N00000X` — Chiropractor Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor	State: MA \| License: `MA1748` \| Primary: Secondary
`111NX0800X` — Chiropractor, Orthopedic Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Orthopedic	State: MA \| License: `MA1748` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BUZZARDS BAY CHIROPRACTIC, P.C. (NPI #1174776058)