Individual provider Active NPI

Brian Ghessi, D.C.

  • Chiropractor
  • Fleetwood, PA
National Provider Identifier
1194902858
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011044 Issued in PA
Practice address
12 W Main St
Fleetwood, PA 19522-1315
Phone
(484) 793-2821
Fax
(484) 575-8748
NPI assigned
Jan 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011044 PA Primary

Addresses

Primary practice location

12 W Main St
Fleetwood, PA 19522-1315

Mailing address

12 W Main St
Fleetwood, PA 19522-1315
Phone (484) 793-2821

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170131001627 PA Practitioner - Chiropractic 8729360573 Practice locations: Fleetwood, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011044PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Physical Therapy, LLC PastSince May 7, 2023 Accepting new patients

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": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1194902858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W MAIN ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221315",
            "telephone_number": "484-793-2821",
            "fax_number": "484-575-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W MAIN ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221315",
            "telephone_number": "484-793-2821",
            "fax_number": "484-575-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHESSI",
        "first_name": "BRIAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleetwood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.