Individual provider Active NPI

Eric Robert Braunscheidel, DC

  • Rehabilitation Chiropractor
  • Streetsboro, OH
National Provider Identifier
1023323482
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
4083 Issued in OH
Practice address
9125 State RT 14
Streetsboro, OH 44241
Phone
(330) 626-5561
Fax
(330) 626-9219
NPI assigned
Aug 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 4083 OH Primary

Addresses

Primary practice location

9125 State RT 14
Streetsboro, OH 44241

Mailing address

297 Huntsford Dr
Macedonia, OH 44056-1762
Phone (716) 228-1554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110328000627 OH Practitioner - Chiropractic 7012190127 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4083OHMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Solution Centers of Lorain Inc. CurrentSince Oct 1, 2020 Accepting new patients
Health Solution Centers of Sandusky Inc CurrentSince Feb 13, 2012 Accepting new patients
Health Solution Center of Vermilion, Inc CurrentSince May 16, 2011 Accepting new patients
Streetsboro Chiropractic Clinic Past Accepting new patients

Locations

4370 Ridge Rd
Brooklyn, OH 44144
Phone (216) 351-0778

1980 Cooper Foster Park Rd W
Ste A
Lorain, OH 44053
Phone (440) 282-7246

1112 E Perkins Ave
Sandusky, OH 44870
Phone (419) 626-1112

4733 Liberty Ave
Vermilion, OH 44089
Phone (440) 967-4226

Organizations & group practices 4

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": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1023323482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 HUNTSFORD DR",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561762",
            "telephone_number": "716-228-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9125 STATE RT 14",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "44241",
            "telephone_number": "330-626-5561",
            "fax_number": "330-626-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNSCHEIDEL",
        "first_name": "ERIC",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-10",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "4083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streetsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.