Active NPI
Brennyn Chase Shearwood, D.C.
- Chiropractor
- Eufaula, OK
National Provider Identifier
1033839030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4499
- Practice address
- 100 N 2ND St Ste B
Eufaula, OK 74432-2410 - Phone
- (918) 707-2987
- Fax
- (918) 707-5063
- NPI assigned
- Aug 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4499 | OK | Primary |
Addresses
Primary practice location
100 N 2ND St Ste B
Eufaula, OK 74432-2410
Mailing address
100 N 2ND St Ste B
Eufaula, OK 74432-2410
Phone (918) 707-2987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4499 | Other | OK | OKLAHOMA BOARD OF CHIROPRACTIC EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 N 2ND St
Suite B
Eufaula, OK 74432-2410
Phone (918) 707-2987
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shearwood Family Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Shearwood Chiropractic Clinic Inc | Chiropractor | Past | Accepting new patients |
Locations
100 N 2nd St
Ste B
Eufaula, OK 74432
Phone (918) 707-2987
Organizations & group practices 2
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.
-
- Chiropractor
- Eufaula, OK
- NPI 1174350508
-
- Chiropractor
- Stigler, OK
- NPI 1033105861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1033839030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N 2ND ST STE B",
"city": "EUFAULA",
"state": "OK",
"postal_code": "744322410",
"telephone_number": "918-707-2987",
"fax_number": "918-707-5063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N 2ND ST STE B",
"city": "EUFAULA",
"state": "OK",
"postal_code": "744322410",
"telephone_number": "918-707-2987",
"fax_number": "918-707-5063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARWOOD",
"first_name": "BRENNYN",
"middle_name": "CHASE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-30",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "4499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA BOARD OF CHIROPRACTIC EXAMINERS",
"identifier": "4499",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eufaula, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.