MEDICARE: BUMM KIM DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	15812	TX

General Provider Information

NPI Number	:	1043160922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BUMM KIM DC

Provider Business Mailing Address
First Line	:	724 W MAIN ST STE 450
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-3582
Country	:	US
Telephone Number	:	972-353-7711
Fax Number	:	972-219-0041

Provider Business Practice Location Address
First Line	:	724 W MAIN ST STE 450
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-3582
Country	:	US
Telephone Number	:	972-353-7711
Fax Number	:	972-219-0041

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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Directions to “ BUMM KIM DC” Practice Location

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