Brentwood Spine & Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BRENTWOOD SPINE & WELLNESS

Practice address

785 Old Hickory Blvd Ste 200
Brentwood, TN 37027-4512

Phone

(615) 373-0276

Fax

(615) 373-0879

NPI assigned

Jan 20, 2023

Organization subpart

No

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

Authorized official

Name

Kimberly A Faro

Title

Office Manager

Phone

(201) 923-5204

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Stabile, DC

  • Chiropractor
  • Nutley, NJ
  • NPI 1952351413

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1033824362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 OLD HICKORY BLVD STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274512",
            "telephone_number": "615-373-0276",
            "fax_number": "615-373-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 OLD HICKORY BLVD STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274512",
            "telephone_number": "615-373-0276",
            "fax_number": "615-373-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD SPINE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "FARO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-923-5204"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brentwood Pediatric Dentistry, LLC
• Brentwood Pediatrics PLLC
• Brentwood Pelvic Health
• Brentwood Primary Care
• Brentwood Professional Group Inc.
• Brentwood Spine and Joint, PLLC
• Brentwood Surgery Center, LLC
• Brentwood Wellness Recovery and Detox Dba Nashville Wellness Recovery and Detox
• Bernadette Michelle Brewer
• Stephanie Bridgman

• Chiropractor in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.