Revive Chiropractic and Performance

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REVIVE CHIROPRACTIC AND PERFORMANCE

Practice address

4655 Sweetwater Blvd Ste 200
Sugar Land, TX 77479-3015

Phone

(281) 909-7317

NPI assigned

Feb 29, 2024

Last updated

Feb 29, 2024By 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

David Brazzell, DCNPI 1386284586

Title

Owner

Phone

(281) 909-7317

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• David Zachary Brazzell, DC

  • Chiropractor
  • Sugar Land, TX
  • NPI 1386284586
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1114784808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 SWEETWATER BLVD STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793015",
            "telephone_number": "281-909-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 SWEETWATER BLVD STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793015",
            "telephone_number": "281-909-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE CHIROPRACTIC AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "BRAZZELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-909-7317",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Masha Resman, M.D.
• Rest Diagnostics, Limited Liability Company
• Restore Medical Group PLLC
• Reverie Sleep and Neurology Consultants, LLC
• Revibe Physical Therapy PLLC
• Rewired Mind Counseling PLLC
• Resham Rewri
• Giulianna Reyes, RT (R) (M)
• Patricia Reyes, CSFA
• Julissa M Reynolds-Lynch, PT

• Chiropractor in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.