Active NPI
Comprehensive Chiropractic PA
- Medical Specialty Clinic/Center
- Granbury, TX
National Provider Identifier
1215055058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 10149
- Legal business name
- COMPREHENSIVE CHIROPRACTIC PA
- Practice address
- 1321 Waters Edge Dr Ste 1003
Granbury, TX 76048-1233 - Phone
- (817) 573-0500
- Fax
- (817) 573-0501
- NPI assigned
- Mar 27, 2007
- 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. Kenneth Paul Brassie, D.C.
- Title
- Owner
- Phone
- (817) 573-0500
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 |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 10149 | TX | Primary |
Addresses
Primary practice location
1321 Waters Edge Dr Ste 1003
Granbury, TX 76048-1233
Mailing address
1321 Waters Edge Dr
Ste 1003
Granbury, TX 76048-1232
Phone (817) 573-0500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 628577 | Other | TX | PHCS |
| 0067MY | Other | TX | BCBS GROUP |
| 00846Z | Other | TX | MEDICARE GROUP |
| 8U4210 | Other | TX | BCBS INDIVIDUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1321 Waters Edge Dr
#100
Granbury, TX 76048
1030 E Highway 377
Ste 114
Granbury, TX 76048
Phone (817) 573-0500
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Granbury, TX
- NPI 1447337613
-
- Chiropractor
- Granbury, TX
- NPI 1437912383
-
- Dermatology Physician
- Granbury, TX
- NPI 1861555237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305504000000",
"number": "1215055058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 WATERS EDGE DR",
"address_2": "STE 1003",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760481232",
"telephone_number": "817-573-0500",
"fax_number": "817-573-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 WATERS EDGE DR STE 1003",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760481233",
"telephone_number": "817-573-0500",
"fax_number": "817-573-0501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE CHIROPRACTIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2011-05-16",
"status": "A",
"authorized_official_last_name": "BRASSIE",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-573-0500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "TX",
"license": "10149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "628577",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "0067MY",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "00846Z",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "8U4210",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.