Brent Alan Tidwell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1802 Issued in AL

Practice address

819 Mimosa Park Rd
Tuscaloosa, AL 35405-4839

Phone

(205) 752-7503

Fax

(205) 752-7513

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14592/brand/1/csg/1/fhir/r4

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.

• American Alternative Healthcare, P.C.

  • Chiropractor
  • Tuscaloosa, AL
  • NPI 1982702163
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1154438802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 MIMOSA PARK ROAD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053964",
            "telephone_number": "205-752-7503",
            "fax_number": "205-752-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 MIMOSA PARK RD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354054839",
            "telephone_number": "205-752-7503",
            "fax_number": "205-752-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "BRENT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51035545",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51542858",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcy Thurman
• Rosanne Austin Thurman, PHARMD
• Johnny R Tice, FNP-C
• Tidal Counseling LLC
• Christy Vaughn Tidmore, PHARMD
• Karen L Tidwell, CRNA
• Raymond Cruz Tidwell
• Dan Clarence Tiller, CRNA
• Timothy Winkler MD LLC
• Delbert Tippey, RPH, MSSM

• Chiropractor in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.