Brennen Jaren Tubaugh, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

075796 Issued in IA

Practice address

1114 N Haynes Ave
Centerville, IA 52544-1134

Phone

(641) 437-4433

NPI assigned

Feb 25, 2015

Sex

Male

Sole proprietor

Yes

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 IA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tubaugh Family Chiropractic Clinic IncGroup PAC ID 6901276179, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Tubaugh Family Chiropractic Clinic Inc

  • Chiropractor
  • Centerville, IA
  • NPI 1154031037
  Medicare reassignment Care Compare group NPD Authorized official
• Jaren Richard Tubaugh, D.C.

  • Chiropractor
  • Centerville, IA
  • NPI 1215980990
  Medicare reassignment

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1073905220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 N HAYNES AVE",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 N HAYNES AVE",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441134",
            "telephone_number": "641-437-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBAUGH",
        "first_name": "BRENNEN",
        "middle_name": "JAREN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "075796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tresemer Physical Therapy Inc
• Raymond Mark Tresemer, PT
• Natalie Trinkle, ARNP
• Tubaugh Family Chiropractic Clinic
• Tubaugh Family Chiropractic Clinic Inc
• Jaren Richard Tubaugh, D.C.
• Beverly Versteegh, LMSW
• Vincent E. Sullivan MD PC
• Sherry Elise Walker Sidles, MA, CCC, SLP
• Sierra Dawn Walker, TLMHC

• Chiropractor in Centerville, IA
• Providers in Centerville, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.