Individual provider Active NPI

Brendan Tucker Casey, DC

  • Chiropractor
  • Santa Fe, NM
National Provider Identifier
1003040973
Registry record updated Mar 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2174 Issued in NM
Practice address
501 Franklin Ave
Santa Fe, NM 87501-3617
Phone
(505) 690-1873
NPI assigned
May 7, 2009
Last updated
Mar 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2174 NM Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180214000233 NM Practitioner - Chiropractic 2062772999 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2174NMMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Colonias Chiropractic Center Inc Chiropractor CurrentSince Jan 6, 2018 Accepting new patients
Santa Fe Sport and Spine LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

906 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 303-0262

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711152000000",
    "number": "1003040973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FRANKLIN AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87501",
            "telephone_number": "505-690-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FRANKLIN AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875013617",
            "telephone_number": "505-690-1873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1348 Pacheco St",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054222",
            "country_code": "US",
            "telephone_number": "505-901-7049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1348 Pacheco St",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054222",
            "country_code": "US",
            "telephone_number": "505-901-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASEY",
        "first_name": "BRENDAN",
        "middle_name": "TUCKER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-07",
        "last_updated": "2024-03-23",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "2174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.