Individual provider Active NPI

Brent C Ostrander, DC LLC

  • Chiropractor
  • Pinellas Park, FL
National Provider Identifier
1043608185
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11366 Issued in FL
Practice address
7000 48TH St N
Pinellas Park, FL 33781-4409
Phone
(727) 686-5608
Fax
(727) 525-7003
NPI assigned
Dec 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11366 FL Primary

Addresses

Primary practice location

7000 48TH St N
Pinellas Park, FL 33781-4409

Mailing address

7000 48TH St N
Pinellas Park, FL 33781-4409
Phone (727) 686-5608

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150410001707 FL Practitioner - Chiropractic 7012235617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7000 48TH N St
Pinellas Park, FL 33781-4409

7000 48TH St N
Pinellas Park, FL 33781-4409
Phone (727) 522-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH11366FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brent C Ostrander, DC, LLC CurrentSince Feb 5, 2015 Accepting new patients
Ronald E. Ostrander, P.a. Chiropractor Past Accepting new patients

Locations

7000 48th St N
Pinellas Park, FL 33781
Phone (727) 522-6600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1043608185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 48TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337814409",
            "telephone_number": "727-686-5608",
            "fax_number": "727-525-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 48TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337814409",
            "telephone_number": "727-686-5608",
            "fax_number": "727-525-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTRANDER",
        "first_name": "BRENT",
        "middle_name": "C",
        "credential": "DC LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-23",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.