Active NPI
Brendan Patrick Corcoran, D.C.
- Chiropractor
- Winthrop, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2851
- Practice address
- 11 Bartlett Rd
Winthrop, MA 02152-2912 - Phone
- (617) 846-3502
- Fax
- (617) 846-6899
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 2851 | MA | Primary |
Addresses
Primary practice location
11 Bartlett Rd
Winthrop, MA 02152-2912
Mailing address
121 Maplewood Ave
Unit #2
Gloucester, MA 01930-2659
Phone (617) 846-3502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041018001092 | MA | Practitioner - Chiropractic | 7416917919 | Practice locations: Gloucester, MA; Winthrop, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6 Bartlett Rd
Winthrop, MA 02152-2913
Phone (617) 846-3502
85 Eastern Ave
Suite 209
Gloucester, MA 01930-6517
Phone 97828211912
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2851 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cummings Physical Therapy, Inc | Current | Accepting new patients | |
| Spine Center North Shore LLC | Chiropractor | Past | Accepting new patients |
| Merolla Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Locations
11 Bartlett Rd
Winthrop, MA 02152
Phone (617) 846-0832
6 Bartlett Rd
Winthrop, MA 02152
Phone (617) 846-0832
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.
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- NPI 1811023260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1093813396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 MAPLEWOOD AVE",
"address_2": "UNIT #2",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019302659",
"telephone_number": "617-846-3502",
"fax_number": "617-846-6899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 BARTLETT RD",
"city": "WINTHROP",
"state": "MA",
"postal_code": "021522912",
"telephone_number": "617-846-3502",
"fax_number": "617-846-6899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORCORAN",
"first_name": "BRENDAN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winthrop, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.