Individual provider Active NPI

Brianna Husby, DC

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1164997383
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33984 Issued in CA
Practice address
4620B Meridian Ave
San Jose, CA 95124-4825
Phone
(925) 330-4628
NPI assigned
Oct 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33984 CA Primary

Addresses

Primary practice location

4620B Meridian Ave
San Jose, CA 95124-4825

Mailing address

4620B Meridian Ave
San Jose, CA 95124-4825
Phone (925) 330-4628

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201112001628 OR Practitioner - Chiropractic 0446593420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2017
Medicare assignment
May accept Medicare assignment
Group practices
2Chirosmission Chiropractic Center LLCGroup PAC ID 2769624824, 6 clinicians

Practice addresses (Care Compare)

409 NE Greenwood Ave
Suite 120
Bend, OR 97701-4616
Phone (541) 728-0954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
2Chirosmission Chiropractic Center LLC Chiropractor CurrentSince Nov 4, 2020 Accepting new patients

Locations

409 NE Greenwood Ave
Ste 120
Bend, OR 97701
Phone (541) 728-0954

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": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1164997383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620B MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244825",
            "telephone_number": "925-330-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620B MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244825",
            "telephone_number": "925-330-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSBY",
        "first_name": "BRIANNA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.