Active NPI
Brian C. Rush D. C. P. a.
- Chiropractor
- Pembroke Pines, FL
National Provider Identifier
1205100641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8137
- Legal business name
- BRIAN C. RUSH D. C. P. A.
- Practice address
- 10830 Pines Blvd
Pembroke Pines, FL 33026-5205 - Phone
- (954) 432-5006
- Fax
- (954) 435-3777
- NPI assigned
- Mar 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian C. Rush, D. C.
- Title
- Owner
- Phone
- (954) 432-5006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8137 | FL | Primary |
Addresses
Primary practice location
10830 Pines Blvd
Pembroke Pines, FL 33026-5205
Mailing address
10830 Pines Blvd
Pembroke Pines, FL 33026-5205
Phone (954) 432-5006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120530000289 | FL | Part B Supplier - Clinic/Group Practice | 2860655941 |
Receives reassigned benefits from 2 practitioners Practice locations: Pembroke Pines, FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330646400000",
"number": "1205100641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10830 PINES BLVD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330265205",
"telephone_number": "954-432-5006",
"fax_number": "954-435-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10830 PINES BLVD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330265205",
"telephone_number": "954-432-5006",
"fax_number": "954-435-3777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN C. RUSH D. C. P. A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-02",
"last_updated": "2012-03-02",
"status": "A",
"authorized_official_last_name": "RUSH",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-432-5006",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D. C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.