Individual provider Active NPI

Brian W Sunshine, D.C.

  • Chiropractor
  • Maryville, TN
National Provider Identifier
1134276249
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 1142 Issued in TN
Practice address
380 High St
Maryville, TN 37804-5846
Phone
(865) 984-6850
Fax
(865) 984-9986
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 1142 TN Primary

Addresses

Primary practice location

380 High St
Maryville, TN 37804-5846

Mailing address

380 High St
Maryville, TN 37804
Phone (865) 977-9028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111221000274 TN Practitioner - Chiropractic 4183890262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine Medical Centers PCGroup PAC ID 1254747546, 4 clinicians

Practice addresses (Care Compare)

380 High St
Maryville, TN 37804-5846
Phone (865) 984-6850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 1142TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Medical Centers PC CurrentSince Aug 1, 2022 Accepting new patients

Locations

380 High St
Maryville, TN 37804
Phone (865) 984-6850

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1134276249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HIGH ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "37804",
            "telephone_number": "865-977-9028",
            "fax_number": "865-984-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HIGH ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045846",
            "telephone_number": "865-984-6850",
            "fax_number": "865-984-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNSHINE",
        "first_name": "BRIAN",
        "middle_name": "W",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC 1142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.

Verify at the official NPI Registry.