Organization Active NPI

Legacy Health Chiropractic, LLC

Doing business as Legacy Health Chiropractic

  • Chiropractor
  • Madison, AL
National Provider Identifier
1073163283
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LEGACY HEALTH CHIROPRACTIC, LLC
Doing business as
Legacy Health Chiropractic
Practice address
7185 Highway 72 W
Madison, AL 35758-6650
Phone
(256) 361-9004
NPI assigned
Sep 19, 2019
Last updated
Sep 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
Dr. Brandon Hart, DCNPI 1720638927
Title
Owner/ Doctor of Chiropractic
Phone
(256) 361-9004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7185 Highway 72 W
Madison, AL 35758-6650

Mailing address

7185 Highway 72 W
Madison, AL 35758-6650
Phone (256) 361-9004

Other names 1

  • Legacy Health Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200109002768 AL Part B Supplier - Clinic/Group Practice 3375978877 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, AL

National Provider Directory

National Provider Directory

Locations

7185 Highway 72 W
Madison, AL 35758
Phone (256) 361-9004

Practitioners & affiliated clinicians

Practitioners 1

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": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1073163283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7185 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357586650",
            "telephone_number": "256-361-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7185 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357586650",
            "telephone_number": "256-361-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/ DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "256-361-9004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.