Individual provider Active NPI

Michael Brent Hunter, D.C.

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1104860139
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3352 Issued in OH
Practice address
4211 N Pearl St
Jacksonville, FL 32206-6411
Phone
(904) 358-8692
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3352 OH Primary
Chiropractor 111N00000X CH 9572 FL

Addresses

Primary practice location

4211 N Pearl St
Jacksonville, FL 32206-6411

Mailing address

8 Pacific St
Saint Augustine, FL 32084-2713
Phone (904) 217-8148

Other identifiers 2

IdentifierTypeStateIssuer
HQ417AOtherFLMEDICARE PTAN
2374443MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131211001028 FL Practitioner - Chiropractic 2668482969 Practice locations: Saint Augustine, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 9572FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Relief Institute LLC CurrentSince Sep 21, 2025 Accepting new patients
Michael B. Hunter Chiropractor PastSince Feb 1, 2003 Accepting new patients

Locations

4211 N Pearl St
Jacksonville, FL 32206
Phone (904) 358-1159

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1104860139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PACIFIC ST",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320842713",
            "telephone_number": "904-217-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 N PEARL ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322066411",
            "telephone_number": "904-358-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "MICHAEL",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3352",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9572",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HQ417A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2374443",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.