Brent Coffman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33609 Issued in CA

Practice address

1601 Carmen Dr Ste 112
Camarillo, CA 93010-3100

Phone

(805) 383-9114

NPI assigned

Jun 20, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Coffman Chiropractic Corp.

  • Chiropractor
  • Camarillo, CA
  • NPI 1992229058
  NPD Authorized official
• Dimaano Chiropractic Inc.

  • Chiropractor
  • Camarillo, CA
  • NPI 1962754200
  NPD (past)
• Veselak Chiropractic, Corporation

  • Chiropractor
  • Camarillo, CA
  • NPI 1720250533
  NPD (past)

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063862134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR STE 112",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103100",
            "telephone_number": "805-383-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR STE 112",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103100",
            "telephone_number": "805-383-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Orthopedic & Spine Institute
• Coastal Wellness MC
• Susan Elizabeth Cobb, LMFT
• Madison Cody
• Coffman Chiropractic Corp.
• Kelsey Colby
• Coleman Learning Centers
• Gabrielle Marie Colina
• Maria Collier
• Heather Elizabeth Colligan

• Chiropractor in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.