BERNARD P. BUBANIC DC DACBSP
NPI 1629174222
Chiropractor - Sports Physician in Canton, OH

Q: What is Bernard Bubanic's NPI number?

The NPI number for Bernard Bubanic is 1629174222. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Q: What is Bernard Bubanic's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bernard Bubanic was last updated on November 18, 2016. 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.

Active since September 15, 2006Accepts Medicare Assignment

4082 FULTON DRIVE NW, CANTON, OH 44718(330) 491-8100(844) 572-2173 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bernard P. Bubanic Dc Dacbsp NPPES

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

BERNARD P. BUBANIC DC DACBSP (NPI 1629174222) is an individual sports physician in Canton, Ohio, licensed in Ohio (1307) and active in the NPI registry since September 2006. He is a graduate of Life Chiropractic College - West (1986).

NPPES Registry Identity

NPI1629174222

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameBERNARD P. BUBANICCredential: DC DACBSP

Location Address4082 FULTON DRIVE NWCanton, OH 44718

Mailing Address4082 Fulton Drive NwCanton, OH 44718 · (330) 491-8100 · Fax (844) 572-2173

Phone(330) 491-8100

Fax(844) 572-2173

Sole ProprietorYes

Medical School CMSLife Chiropractic College - WestGraduated 1986

Enumeration DateSeptember 15, 2006

Last NPPES UpdateNovember 18, 2016

✔ NPI 1629174222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in OH · 1307

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.

4082 FULTON DRIVE NW, Canton, OH 44718

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Other Identifiers 3

Medicare UPINT48598

Medicare UPINT48598OH

Medicaid0701351OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.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

Bernard P. Bubanic Dc Dacbsp 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 ID4789767583

PECOS Enrollment IDI20080218000360

Other Providers at the Same Location NPPES

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

BUBANIC CHIROPRACTIC INC.

Chiropractor

4082 FULTON DRIVE NW
CANTON, OH 44718

Stark County (330) 491-8100

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 Bernard Bubanic's NPI number?

The NPI number for Bernard Bubanic is 1629174222. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Bernard Bubanic located?

Bernard Bubanic practices at 4082 Fulton Drive NW, Canton, OH 44718. The listed phone number is (330) 491-8100.

What is Bernard Bubanic's specialty?

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

Is Bernard Bubanic enrolled in Medicare?

Yes. Bernard Bubanic 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 Bernard Bubanic accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Bernard Bubanic 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 Bernard Bubanic was last updated on November 18, 2016. 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.