Individual provider Active NPI

Brian Hall

  • Chiropractor
  • Bay City, MI
National Provider Identifier
1043609696
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010245 Issued in MI
Practice address
3741 Wilder Rd
Suite D
Bay City, MI 48706-2343
Phone
(989) 686-4609
NPI assigned
Jan 21, 2015
Last updated
Jul 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 2301010245 MI Primary

Addresses

Primary practice location

3741 Wilder Rd
Suite D
Bay City, MI 48706-2343

Mailing address

3741 Wilder Rd
Suite D
Bay City, MI 48706-2343
Phone (989) 686-4609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150828002019 MI Practitioner - Chiropractic 0648586164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4151 Shrestha Dr
Suite a
Bay City, MI 48706-2171
Phone (989) 686-4609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
True North Chiropractic, PLLC Chiropractor CurrentSince Jul 17, 2015 Accepting new patients

Locations

3741 Wilder Rd
Ste D
Bay City, MI 48706
Phone (989) 684-8400

4151 Shrestha Dr
Ste A
Bay City, MI 48706
Phone (989) 686-4609

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, 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": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1043609696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 WILDER RD",
            "address_2": "SUITE D",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062343",
            "telephone_number": "989-686-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 WILDER RD",
            "address_2": "SUITE D",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062343",
            "telephone_number": "989-686-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.