Individual provider Active NPI

Brenton Burchett, DC

  • Chiropractor
  • Yorktown, VA
National Provider Identifier
1144735242
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557454 Issued in VA
Practice address
5701 George Washington Mem Hwy
Yorktown, VA 23692-2773
Phone
(757) 874-5666
NPI assigned
Dec 11, 2017
Last updated
Dec 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557454 VA Primary

Addresses

Primary practice location

5701 George Washington Mem Hwy
Yorktown, VA 23692-2773

Mailing address

2645 Green Farm Rd
Danville, VA 24540-0211
Phone (434) 607-2406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180213000261 VA Practitioner - Chiropractic 4183984156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gunderman Chiropractic and Wellness LLCGroup PAC ID 5890940985, 3 clinicians

Practice addresses (Care Compare)

5701 George Washington Mem Hwy
Yorktown, VA 23692-2773
Phone 7578745666121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gunderman Chiropractic & Wellness LLC Chiropractor CurrentSince Jan 15, 2018 Accepting new patients

Locations

5701 George Washington Mem Hwy
Yorktown, VA 23692
Phone (757) 874-5666

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1144735242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 GREEN FARM RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245400211",
            "telephone_number": "434-607-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 GEORGE WASHINGTON MEM HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922773",
            "telephone_number": "757-874-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHETT",
        "first_name": "BRENTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.