Individual provider Active NPI

Brett Matthew Herrington, D.C.

  • Chiropractor
  • Seminole, FL
National Provider Identifier
1013904648
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0007510 Issued in FL
Practice address
8400 113TH St
Seminole, FL 33772-4131
Phone
(727) 201-4549
Fax
(866) 265-0201
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0007510 FL Primary

Addresses

Primary practice location

8400 113TH St
Seminole, FL 33772-4131

Mailing address

8400 113TH St
Seminole, FL 33772-4131
Phone (727) 580-0744

Other identifiers 1

IdentifierTypeStateIssuer
381541200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070123000228 FL Practitioner - Chiropractic 6002817855 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0007510FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brett M Herrington, DC, PA Chiropractor CurrentSince Sep 1, 2006 Accepting new patients
Crai Spines Chiropractor CurrentSince Jun 14, 2023 Accepting new patients
Donald J. Krippendorf PA Chiropractor Past Accepting new patients

Locations

2575 Harn Blvd
Clearwater, FL 33764
Phone (727) 458-3942

8400 113th St
Seminole, FL 33772
Phone (727) 201-4549

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1013904648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 113TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724131",
            "telephone_number": "727-580-0744",
            "fax_number": "866-265-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 113TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724131",
            "telephone_number": "727-201-4549",
            "fax_number": "866-265-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRINGTON",
        "first_name": "BRETT",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381541200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.