Individual provider Active NPI

Brian Craig Drutman, DC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1225116601
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8203 Issued in FL
Practice address
2529 W Busch Blvd Ste 100
Tampa, FL 33618-4546
Phone
(813) 579-4047
Fax
(866) 254-3787
NPI assigned
Nov 1, 2006
Last updated
Apr 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8203 FL Primary

Addresses

Primary practice location

2529 W Busch Blvd Ste 100
Tampa, FL 33618-4546

Mailing address

5509 E Longboat Blvd
Tampa, FL 33615-4220
Phone (813) 579-4047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8203FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vitality Medical Group, LLC Chiropractor Past Accepting new patients
Suncoast Total Healthcare LLC Past Accepting new patients
Precision Physical Therapy Inc Past Accepting new patients

Organizations & group practices 4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1225116601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 E LONGBOAT BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154220",
            "telephone_number": "813-579-4047",
            "fax_number": "866-254-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 W BUSCH BLVD STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184546",
            "telephone_number": "813-579-4047",
            "fax_number": "866-254-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUTMAN",
        "first_name": "BRIAN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.