Active NPI
Brian Scott Farrell, D.C.
- Chiropractor
- Panama City Beach, FL
National Provider Identifier
1083984736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10357
- Practice address
- 12139 Panama City Beach Pkwy
Panama City Beach, FL 32407-2609 - Phone
- (850) 234-2242
- Fax
- (850) 234-2262
- NPI assigned
- Jan 11, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10357 | FL | Primary |
Addresses
Primary practice location
12139 Panama City Beach Pkwy
Panama City Beach, FL 32407-2609
Mailing address
12139 Panama City Beach Pkwy
Panama City Beach, FL 32407-2609
Phone (850) 234-2242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2309 Wednesday St
Tallahassee, FL 32308-4335
Phone (850) 385-5113
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH10357 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic & Family Chiropractic, PL | Chiropractor | Current | Accepting new patients |
Locations
2309 Wednesday St
Tallahassee, FL 32308
Phone (850) 385-5113
Organizations & group practices 1
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.
-
- Chiropractor
- Tallahassee, FL
- NPI 1104174226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1083984736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12139 PANAMA CITY BEACH PKWY",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324072609",
"telephone_number": "850-234-2242",
"fax_number": "850-234-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12139 PANAMA CITY BEACH PKWY",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324072609",
"telephone_number": "850-234-2242",
"fax_number": "850-234-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "BRIAN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.