BJS CHIROPRACTIC, PLC — NPI 1386151793 (Licensed & Credentialed Chiropractic Providers

CMS-1500 Box 24J / 33a • NPI

1386151793

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

111N00000X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor

Box 32 Service Location & ZIP+4

119 N STONE RD, FREMONT, MI, 49412-0435

✓ 9-Digit EDI 837 ZIP+4 (49412-0435)

Practice Phone & Referral Fax

(231) 924-2590

Fax: (231) 924-6560

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1386151793 (BJS CHIROPRACTIC, PLC) 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	`1386151793` (NPI-2 Organization / Facility)
Provider / Legal Name	BJS CHIROPRACTIC, PLC
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor NUCC Code: `111N00000X` (Chiropractor)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	119 N STONE RD, FREMONT, MI, 49412-0435
Practice Telephone / Fax	Tel: (231) 924-2590 \| Fax: (231) 924-6560
Administrative Mailing Address	6098 E 124TH, SAND LAKE, MI, 49343-9628
Enumeration & Last Sync	Enumerated: 2018-01-08 \| CMS Record Updated: 2018-01-08
Authorized Official	BROCK SEMLOW (Owner/Chiropractor)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

119 N STONE RD, FREMONT, MI, 49412-0435

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Plain-English Taxonomy & CMS Crosswalk (111N00000X)

What Does Taxonomy Code 111N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111N00000X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor"

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 for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BJS CHIROPRACTIC, PLC)

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: MI \| License: `2301009031` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BJS CHIROPRACTIC, PLC (NPI #1386151793)