Active NPI
Brian I Deutsch, DC
- Chiropractor
- Aventura, FL
National Provider Identifier
1083656946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10005
- Practice address
- 2999 NE 191St St Ste 345
Aventura, FL 33180-3123 - Phone
- (646) 623-8339
- NPI assigned
- Jun 12, 2006
- Last updated
- Jun 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X008467-1 | NY | |
| Chiropractor | 111N00000X | CH10005 | FL | Primary |
Addresses
Primary practice location
2999 NE 191St St Ste 345
Aventura, FL 33180-3123
Mailing address
16445 Collins Ave Apt 428
Sunny Isles Beach, FL 33160-4562
Phone (646) 623-8339
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008467 | Other | NY | NY STATE LICENSE |
| 30633 | Other | CA | CA STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH10005 | FL | MD | Chiropractor |
| X008467-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Performance Physical Therapy LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Davie, FL
- NPI 1932027679
-
- Chiropractor
- Aventura, FL
- NPI 1023317302
-
- Physical Therapist
- Fort Lauderdale, FL
- NPI 1215598529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1083656946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16445 COLLINS AVE APT 428",
"city": "SUNNY ISLES BEACH",
"state": "FL",
"postal_code": "331604562",
"telephone_number": "646-623-8339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 NE 191ST ST STE 345",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331803123",
"telephone_number": "646-623-8339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEUTSCH",
"first_name": "BRIAN",
"middle_name": "I",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008467-1",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE LICENSE",
"identifier": "008467",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA STATE LICENSE",
"identifier": "30633",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.