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DR. DAMIEN JUDE RODULFO DC, CCSP
NPI 1407838675
Chiropractor - Sports Physician in Greensboro, NC

Active since November 15, 2005Accepts Medicare Assignment
2105 W CORNWALLIS DR STE C, A, GREENSBORO, NC 27408(336) 235-4530(336) 235-0754 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Damien Jude Rodulfo Dc, Ccsp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAMIEN JUDE RODULFO DC, CCSP (NPI 1407838675) is an individual sports physician in Greensboro, North Carolina, licensed in North Carolina (3242) and active in the NPI registry since November 2005. He is a graduate of New York Chiropractic College (2003).

NPPES Registry Identity

NPI1407838675
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. DAMIEN JUDE RODULFOCredential: DC, CCSP
Location Address2105 W CORNWALLIS DR STE C, AGreensboro, NC 27408-7098
Mailing Address2105 W Cornwallis Dr Ste CGreensboro, NC 27408-7098 · (336) 235-4530 · Fax (336) 235-0754
Phone(336) 235-4530
Fax(336) 235-0754
Sole ProprietorNo
Medical School CMSNew York Chiropractic CollegeGraduated 2003
Enumeration DateNovember 15, 2005
Last NPPES UpdateApril 6, 2017
✔ NPI 1407838675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in NC · 3242
Definition
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.
2105 W CORNWALLIS DR STE C, Greensboro, NC 27408
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Other Identifiers 4

Medicare UPINV00695
Medicare PIN2457198BNC
Medicaid89085URNC
Other085URNC · Bcbs Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Damien Jude Rodulfo Dc, Ccsp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224018981
PECOS Enrollment IDI20040722001081

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
205 services37 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH GUZMAN LMBT
Massage Therapist
2105 W CORNWALLIS DR STE C
GREENSBORO, NC 27408
Guilford County (336) 907-7741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Damien Rodulfo's NPI number?

The NPI number for Damien Rodulfo is 1407838675. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Damien Rodulfo located?

Damien Rodulfo practices at 2105 W Cornwallis Dr Ste C A, Greensboro, NC 27408. The listed phone number is (336) 235-4530.

What is Damien Rodulfo's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Damien Rodulfo enrolled in Medicare?

Yes. Damien Rodulfo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Damien Rodulfo accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Providence Health Plan list Damien Rodulfo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Damien Rodulfo was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.