Individual provider Active NPI

Brion David Muscarella, D.C.

  • Chiropractor
  • Goodyear, AZ
National Provider Identifier
1043264187
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7681 Issued in AZ
Practice address
530 N Estrella Pkwy
Ste. C-1
Goodyear, AZ 85338-4137
Phone
(623) 932-9211
Fax
(623) 932-9210
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7681 AZ Primary

Addresses

Primary practice location

530 N Estrella Pkwy
Ste. C-1
Goodyear, AZ 85338-4137

Mailing address

530 N Estrella Pkwy
Ste. C-1
Goodyear, AZ 85338-4137
Phone (623) 932-9211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060620000143 AZ Practitioner - Chiropractic 5698787356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Estrella Pkwy Medical Center LLCGroup PAC ID 6002067410, 6 clinicians

Practice addresses (Care Compare)

530 N Estrella Pkwy
Suite C1
Goodyear, AZ 85338-4138
Phone (623) 932-9211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Estrella Pkwy Medical Center, LLC. Chiropractor CurrentSince Apr 26, 2006 Accepting new patients
Estrella Pkwy Medical Center Chiropractor Past Accepting new patients
Pkwy Medical Center LLC Chiropractor Past Accepting new patients

Locations

530 N Estrella Pkwy
Ste C1
Goodyear, AZ 85338
Phone (623) 882-3598

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1043264187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N ESTRELLA PKWY",
            "address_2": "STE. C-1",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384137",
            "telephone_number": "623-932-9211",
            "fax_number": "623-932-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N ESTRELLA PKWY",
            "address_2": "STE. C-1",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384137",
            "telephone_number": "623-932-9211",
            "fax_number": "623-932-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCARELLA",
        "first_name": "BRION",
        "middle_name": "DAVID",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.