Brenneman Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC004643L Issued in PA

Legal business name

BRENNEMAN CHIROPRACTIC PC

Doing business as

Crossroads Chiropractic Clinic

Practice address

156 W Chestnut St
Washington, PA 15301-4423

Phone

(724) 223-0500

Fax

(724) 222-3412

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Judy A Hanning

Title

Biller

Phone

(724) 223-0500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Crossroads Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn A Brenneman Jr., DC

  • Chiropractor
  • Washington, PA
  • NPI 1356339022
  Medicare reassignment Care Compare group NPD
• Samuel Brenneman

  • Chiropractor
  • Washington, PA
  • NPI 1811629769
  Medicare reassignment Care Compare group NPD
• Donald Cavanaugh

  • Chiropractor
  • Washington, PA
  • NPI 1689662413
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1164623526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 W CHESTNUT ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014423",
            "telephone_number": "724-223-0500",
            "fax_number": "724-222-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W CHESTNUT ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014423",
            "telephone_number": "724-223-0500",
            "fax_number": "724-222-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENNEMAN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "HANNING",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "724-223-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004643L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001914251",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001586535",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Diana Brandt, MSW
• Carol R Brandtonies, CRNA
• Martin Brea, MA ATC LAT
• Connie Bredniak, NP
• Catheri J. Brennan, CATHERINE J. BRENNAN
• Glenn A Brenneman Jr., DC
• Samuel Brenneman
• Janis L Brewer, CRNP
• Brezinski Dental, LLC
• Matthew Brezinski, DMD

• Chiropractor in Washington, PA
• Providers in Washington, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.