Integrated Medicine and Chiropractic Regeneration Center

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

INTEGRATED MEDICINE AND CHIROPRACTIC REGENERATION CENTER

Doing business as

IMAC Regeneration Center

Practice address

2725 James Sanders Blvd
Suite a
Paducah, KY 42001-8401

Phone

(270) 554-5114

Fax

(270) 554-5021

NPI assigned

Aug 16, 2006

Last updated

Sep 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason W Brame, DCNPI 1396952404

Title

Management

Phone

(270) 554-5114

Specialties & licenses 5

Addresses

Other names 1

• IMAC Regeneration Center Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Integrated Medicine and Chiropractic Regeneration Center

  dba Tony Delk Center

  • Neurological Surgery Physician
  • Lexington, KY
  • NPI 1528556032
  NPPES parent name

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.

• Jason W Brame, DC

  • Chiropractor
  • Poducah, KY
  • NPI 1396952404
  Authorized official Same address or phone

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1083727994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 JAMES SANDERS BLVD",
            "address_2": "SUITE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420018401",
            "telephone_number": "270-554-5114",
            "fax_number": "270-554-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 JAMES SANDERS BLVD",
            "address_2": "SUITE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420018401",
            "telephone_number": "270-554-5114",
            "fax_number": "270-554-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICINE AND CHIROPRACTIC REGENERATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "BRAME",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "270-554-5114",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5134",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "36051",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002302",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMAC Regeneration Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IMAC Regeneration Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Suzanne Marie Irvan, APRN
• Chase Cullen Irvin, OTR/L
• Victoria Ivanukoff, DO
• J Michael Giannini PSC (J Michael Giannini MD PSC)

• Nurse Practitioner in Paducah, KY
• Providers in Paducah, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.