Individual provider Active NPI

Blase Walter Parkinson, DC

  • Chiropractor
  • Sebastian, FL
National Provider Identifier
1205598836
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13744 Issued in FL
Practice address
9414 N US Highway 1
Sebastian, FL 32958-6398
Phone
(772) 228-8131
NPI assigned
Oct 11, 2021
Last updated
Oct 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13744 FL Primary

Addresses

Primary practice location

9414 N US Highway 1
Sebastian, FL 32958-6398

Mailing address

108 Midway CT
Sebastian, FL 32958-6727
Phone (772) 205-9413

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106002927 FL Practitioner - Chiropractic 1355875873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Hurley Health Center LLCGroup PAC ID 0244647915, 6 clinicians
Coastline Spine and Health Center Vero LLCGroup PAC ID 3971037474, 3 clinicians

Practice addresses (Care Compare)

4087 US Hwy 1
Unit 102
Rockledge, FL 32955-5352
Phone (484) 707-2385

974 14TH LN
Vero Beach, FL 32960-4734
Phone (484) 707-2385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13744FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Health Center LLC Chiropractor CurrentSince Oct 14, 2024 Accepting new patients
Coastline Spine & Health Center Vero LLC Chiropractor CurrentSince Dec 9, 2024 Accepting new patients
Advanced Chiropractic Solutions, LLC Chiropractor CurrentSince Oct 17, 2021 Accepting new patients

Locations

4087 US Highway 1
Unit 102
Rockledge, FL 32955
Phone (484) 707-2385

760 Barnes Blvd
Ste 101
Rockledge, FL 32955
Phone (321) 328-5825

9414 N US Highway 1
Sebastian, FL 32958
Phone (772) 228-8131

974 14th Ln
Vero Beach, FL 32960
Phone (484) 707-2385

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1205598836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MIDWAY CT",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329586727",
            "telephone_number": "772-205-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 N US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329586398",
            "telephone_number": "772-228-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKINSON",
        "first_name": "BLASE",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.