DR. BILLY BOB COBURN DC
NPI 1760674956
Chiropractor in Lake Jackson, TX

Active since August 13, 2007Accepts Medicare Assignment
512 THIS WAY ST, LAKE JACKSON, TX 77566(979) 299-1898(979) 299-3282 Get Directions Write a Review

NPPES record last updated: August 13, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Billy Bob Coburn Dc NPPES

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

DR. BILLY BOB COBURN DC (NPI 1760674956) is an individual chiropractor in Lake Jackson, Texas, licensed in Texas (9981) and active in the NPI registry since August 2007. He is a graduate of Other (2004).

NPPES Registry Identity

NPI1760674956
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BILLY BOB COBURNCredential: DC
Location Address512 THIS WAY STLake Jackson, TX 77566-5128
Mailing Address512 This Way StLake Jackson, TX 77566-5128 · (979) 299-1898 · Fax (979) 299-3282
Fax(979) 299-3282
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 13, 2007
✔ NPI 1760674956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 9981
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
512 THIS WAY ST, Lake Jackson, TX 77566

Other Identifiers 2

Medicare UPINV05293TX
Medicare PIN8F0133TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Billy Bob Coburn Dc 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 ID6507801545
PECOS Enrollment IDI20050621000859

Medicare Billing Reassignments

3

Medicare enrollment records show Billy Coburn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chiropractor
115 CIRCLE WAY ST
Lake Jackson, TX 77566
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
Chiropractor
211 N COLUMBIA DR
West Columbia, TX 77486
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Robert L Coburn Dc PC
  • 3 clinicians in this Medicare group
Chiropractor
173 TOVREA RD STE C
Alvin, TX 77511
  • Reassigned Medicare billing, Texas enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
601 services54 patients

Other Providers at the Same Location NPPES 2

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

Chiropractor
512 THIS WAY ST
LAKE JACKSON, TX 77566
Clinic/Center
512 THIS WAY ST
LAKE JACKSON, TX 77566

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 Billy Coburn's NPI number?

The NPI number for Billy Coburn is 1760674956. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Billy Coburn located?

Billy Coburn practices at 512 This Way St, Lake Jackson, TX 77566. The listed phone number is (979) 299-1898.

What is Billy Coburn's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Billy Coburn enrolled in Medicare?

Yes. Billy Coburn 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.

Which organizations bill Medicare for Billy Coburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Billy Coburn reassigns Medicare benefits to 3 organizations: Bc Chiros LLC (Lake Jackson, TX), Robert L. Coburn, D.C.,p.C. (West Columbia, TX) and Alvin Chiros LLC (Alvin, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Billy Coburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Billy Coburn accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Providence Health Plan and UnitedHealthcare list Billy Coburn 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 Billy Coburn was last updated on August 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.