Individual provider Active NPI

Brett David Cardonick, D.C.

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1073567947
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5192 Issued in PA
Practice address
23 E Durham St
Philadelphia, PA 19119-1821
Phone
(215) 242-8632
Fax
(215) 242-4226
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC5192 PA Primary

Addresses

Primary practice location

23 E Durham St
Philadelphia, PA 19119-1821

Mailing address

23 E Durham St
Philadelphia, PA 19119-1821
Phone (215) 242-8632

Other identifiers 1

IdentifierTypeStateIssuer
0237787000OtherPAPERSONAL CHOICE PROVIDER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060726000109 PA Practitioner - Chiropractic 2365455904 Reassigns benefits to 1 organization
Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TLC ChiropracticGroup PAC ID 3577650209, 2 clinicians

Practice addresses (Care Compare)

907 Easton Rd
Willow Grove, PA 19090-2051
Phone (215) 657-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC5192PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Chiropractic Chiropractor CurrentSince May 1, 2021 Accepting new patients
McCormick Depasque Chiropractic, Professional Corporation Chiropractor PastSince May 1, 2021 Accepting new patients
Cardonick Chiropractic PC Chiropractor Past Accepting new patients

Locations

907 Easton Rd
Willow Grove, PA 19090
Phone (215) 657-3200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073567947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 E DURHAM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191821",
            "telephone_number": "215-242-8632",
            "fax_number": "215-242-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E DURHAM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191821",
            "telephone_number": "215-242-8632",
            "fax_number": "215-242-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONICK",
        "first_name": "BRETT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC5192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE PROVIDER",
            "identifier": "0237787000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.