Brett Allan Anderson, D.C.
Individual provider Active NPI Chiropractor · Augusta, GA
NPI 1124612932 · NPPES record last updated Feb 22, 2021
Key facts
- NPI
- 1124612932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIR010501 (GA)
- Practice address
- 3665 Wheeler Rd
Augusta, GA 30909-6603 - Phone
- (706) 860-8717
- NPI assigned
- Feb 22, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Boutwell Chiropractic Group PC
Practice addresses (Care Compare)
3665 Wheeler Rd
Suite 2a
Augusta, GA 30909-6510
Phone (706) 860-8717
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210429001257 | GA | Practitioner - Chiropractic | 7214346444 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boutwell Chiropractic Group PC | Chiropractor | Current |
Accepting new patients |
Locations
3665 Wheeler Rd
Ste 2A
Augusta, GA 30909
Phone (706) 860-8717
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR010501 | GA | Yes |
Addresses
Primary practice location
3665 Wheeler Rd
Augusta, GA 30909-6603
Mailing address
3665 Wheeler Rd
Augusta, GA 30909-6603
Phone (706) 860-8717
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.