Brian Andrew Pesner, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12175 Issued in FL

Practice address

1184 Pelican Bay Dr
Daytona Beach, FL 32119-1381

Phone

(386) 453-0631

NPI assigned

Jun 18, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Networks

• FL PPO
• FL HMO
• FL HMO D-SNP
• FL HMO C-SNP

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1013447465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 CORACI BLVD APT 4302",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287574",
            "telephone_number": "845-548-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 PELICAN BAY DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191381",
            "telephone_number": "386-453-0631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Coraci Blvd Apt 4302",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321287574",
            "country_code": "US",
            "telephone_number": "386-453-0631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PESNER",
        "first_name": "BRIAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Perlman-Hensen, O.D.
• Bernavette Pamela Perry, A.R.N.P.
• Jessica Rose Perry
• Marcus A Perry
• Kalowtie Narmala Persaud
• Kishmar Petersen
• Daniel Peterson
• Linda Bebee Peterson, RN
• Vincent Glenn Peterson, D.O.
• Charlene Petretti, RN

• Chiropractor in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.