Organization Active NPI

Pediatric & Perinatal Corp

Doing business as Pediatric & Perinatal Chiropractic Center

  • Chiropractor
  • Fort Myers, FL
National Provider Identifier
1043980568
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PEDIATRIC & PERINATAL CORP
Doing business as
Pediatric & Perinatal Chiropractic Center
Practice address
12731 World Plaza LN BLDG 83-1
Fort Myers, FL 33907-4081
Phone
(239) 839-0337
NPI assigned
Sep 16, 2021
Last updated
Sep 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Dr. Brienne Gindele, DC
Title
Owner
Phone
(239) 839-0337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Pediatric Chiropractor 111NP0017X

Addresses

Primary practice location

12731 World Plaza LN BLDG 83-1
Fort Myers, FL 33907-4081

Mailing address

12731 World Plaza LN BLDG 83-1
Fort Myers, FL 33907-4081
Phone (239) 887-3283

Other names 1

  • Pediatric & Perinatal Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211123002734 FL Part B Supplier - Clinic/Group Practice 0547650053 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

12731 World Plaza Ln
Bldg 831
Fort Myers, FL 33907
Phone (239) 839-0337

12731 World Plaza Ln
Ste 1
Fort Myers, FL 33907
Phone (239) 839-0337

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1043980568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12731 WORLD PLAZA LN BLDG 83-1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074081",
            "telephone_number": "239-887-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12731 WORLD PLAZA LN BLDG 83-1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074081",
            "telephone_number": "239-839-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & PERINATAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "GINDELE",
        "authorized_official_first_name": "BRIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-839-0337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric & Perinatal Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.