Active NPI
Brace Chiropractic and Wellness Center LLC
- Chiropractor
- Azle, TX
National Provider Identifier
1013196997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9732
- Legal business name
- BRACE CHIROPRACTIC AND WELLNESS CENTER LLC
- Practice address
- 237 W Main St
Azle, TX 76020-3177 - Phone
- (817) 444-2170
- Fax
- (817) 270-3338
- NPI assigned
- Oct 29, 2007
- Last updated
- Jun 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jessica Polk Brace, DC
- Title
- Owner
- Phone
- (817) 444-2170
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9732 | TX | Primary |
Addresses
Primary practice location
237 W Main St
Azle, TX 76020-3177
Mailing address
237 W Main St
Azle, TX 76020-3177
Phone (817) 444-2170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8R3130 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
237 W Main St
Azle, TX 76020
Phone (817) 444-2170
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Azle, TX
- NPI 1184733420
-
- Chiropractor
- North Richland Hills, TX
- NPI 1730181041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435536000000",
"number": "1013196997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 W MAIN ST",
"city": "AZLE",
"state": "TX",
"postal_code": "760203177",
"telephone_number": "817-444-2170",
"fax_number": "817-270-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 W MAIN ST",
"city": "AZLE",
"state": "TX",
"postal_code": "760203177",
"telephone_number": "817-444-2170",
"fax_number": "817-270-3338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRACE CHIROPRACTIC AND WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-29",
"last_updated": "2015-06-29",
"status": "A",
"authorized_official_last_name": "BRACE",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "POLK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-444-2170",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9732",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8R3130",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Azle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.