Brendan Tucker Casey, DC
Individual provider Active NPI Chiropractor · Santa Fe, NM
NPI 1003040973 · NPPES record last updated Mar 23, 2024
Key facts
- NPI
- 1003040973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2174 (NM)
- Practice address
- 501 Franklin Ave
Santa Fe, NM 87501-3617 - Phone
- (505) 690-1873
- NPI assigned
- May 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180214000233 | NM | Practitioner - Chiropractic | 2062772999 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Fe Sport and Spine LLC | Current |
Accepting new patients | |
| Colonias Chiropractic Center Inc | Chiropractor | Current |
Accepting new patients |
Locations
906 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 303-0262
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2174 | NM | Yes |
Addresses
Primary practice location
501 Franklin Ave
Santa Fe, NM 87501-3617
Mailing address
501 Franklin Ave
Santa Fe, NM 87501
Phone (505) 690-1873
Other practice location 1
1348 Pacheco St
Santa Fe, NM 87505-4222
Phone (505) 901-7049
Other practice location 2
1348 Pacheco St
Santa Fe, NM 87505-4222
Phone (505) 901-7049
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.