Individual provider Active NPI

Brent Spille, D.C.

  • Chiropractor
  • Mason, OH
National Provider Identifier
1023430899
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4423 Issued in OH
Practice address
5248 Courseview Dr
Mason, OH 45040-2302
Phone
(513) 398-6300
Fax
(513) 398-6363
NPI assigned
Jan 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4423 OH Primary

Addresses

Primary practice location

5248 Courseview Dr
Mason, OH 45040-2302

Mailing address

5248 Courseview Dr
Mason, OH 45040-2302
Phone (513) 398-6300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140225001851 OH Practitioner - Chiropractic 5597995225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5248 Courseview Dr
Mason, OH 45040-2302
Phone (513) 398-6300

Hospital & facility affiliations

  • Mercy Health Kings Mills Hospital LLC Hospital, Mason, OH, CCN 360374
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4423OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Chiropractic Group Chiropractor CurrentSince Apr 15, 2022 Accepting new patients

Locations

5248 Courseview Dr
Mason, OH 45040
Phone (513) 398-6300

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1023430899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5248 COURSEVIEW DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402302",
            "telephone_number": "513-398-6300",
            "fax_number": "513-398-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5248 COURSEVIEW DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402302",
            "telephone_number": "513-398-6300",
            "fax_number": "513-398-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLE",
        "first_name": "BRENT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.