Brian Douglas Oliver, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007689 Issued in MI

Practice address

970 N Center Ave
Gaylord, MI 49735-9375

Phone

(989) 731-4050

Fax

(989) 731-4803

NPI assigned

May 10, 2006

Last updated

Oct 20, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Michigan Chiropractic Center PLCGroup PAC ID 7113994153, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Northern Michigan Chiropractic Center, PLC

  dba Oliver Chiropractic Clinic

  • Chiropractor
  • Gaylord, MI
  • NPI 1508892910
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1174573463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359375",
            "telephone_number": "989-731-4050",
            "fax_number": "989-731-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359375",
            "telephone_number": "989-731-4050",
            "fax_number": "989-731-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "BRIAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950F950170",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4388102",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makayla O'Henley, BEHAVIOR TECHNICIAN
• Old Town Psychological Services-Gaylord
• Connor James Olds, PHARMD
• Peggy Louise Oleksypeck, BEHAVIOR TECHNICIAN
• Anna Maureen Oliveira, RN, LMT
• Marne Olli, MA
• Amie Ollis, LLPC
• Derek David Olson, M.D.
• Grace Olson
• Catherine Irene Oneill, PA-C

• Chiropractor in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.