Active NPI
Henry Pham
- Chiropractor
- La Vista, NE
National Provider Identifier
1184585895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2243
- Practice address
- 7514 S 84TH St
La Vista, NE 68128-2424 - Phone
- (740) 274-1086
- NPI assigned
- Nov 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2243 | NE | Primary |
Addresses
Primary practice location
7514 S 84TH St
La Vista, NE 68128-2424
Mailing address
1511 Thomas Dr Apt 4
Bellevue, NE 68005-3547
Phone (740) 274-1086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1511 Thomas Dr
Apt 4
Bellevue, NE 68005-3513
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2243 | NE | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brentwood Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
7514 S 84th St
Lavista, NE 68128
Phone (402) 934-5750
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.
-
- Chiropractor
- La Vista, NE
- NPI 1316808033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1184585895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 THOMAS DR APT 4",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680053547",
"telephone_number": "740-274-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7514 S 84TH ST",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681282424",
"telephone_number": "740-274-1086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "HENRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-21",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "2243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Vista, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.