Individual provider Active NPI

Brett Daniel Schoch, D.C.

  • Chiropractor
  • Fort Pierce, FL
National Provider Identifier
1174514376
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8935 Issued in FL
Practice address
2502 Quincy Ave
Fort Pierce, FL 34947-4766
Phone
(772) 302-9580
Fax
(772) 302-9582
NPI assigned
Nov 4, 2005
Last updated
Jan 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8935 FL Primary

Addresses

Primary practice location

2502 Quincy Ave
Fort Pierce, FL 34947-4766

Mailing address

2502 Quincy Ave
Fort Pierce, FL 34947-4766
Phone (772) 302-9580

Other identifiers 2

IdentifierTypeStateIssuer
692890OtherFLACN GROUP/UNITED HEALTH
71899OtherFLBCBS OF FL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000191 FL Practitioner - Chiropractic 4284654351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brett D Schoch D C P aGroup PAC ID 9739595075, 3 clinicians

Practice addresses (Care Compare)

2502 Quincy Ave
Fort Pierce, FL 34947-4766
Phone (772) 302-9580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brett D Schoch D C P a Chiropractor CurrentSince Nov 28, 2020 Accepting new patients
Simpson Chiropractic Pain and Wellness Center PA Chiropractor Past Accepting new patients
Juno Beach Family Chiropractic, Inc. Chiropractor PastSince Sep 19, 2005 Accepting new patients

Locations

2502 Quincy Ave
Fort Pierce, FL 34947
Phone (561) 352-7413

8631 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 302-9580

Organizations & group practices 3

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1174514376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 QUINCY AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474766",
            "telephone_number": "772-302-9580",
            "fax_number": "772-302-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 QUINCY AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474766",
            "telephone_number": "772-302-9580",
            "fax_number": "772-302-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOCH",
        "first_name": "BRETT",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP/UNITED HEALTH",
            "identifier": "692890",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "71899",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.