Brian Blake Sims, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3930 Issued in OR

Practice address

4370 SE King Rd Ste 220
Milwaukie, OR 97222-1613

Phone

(503) 654-7400

Fax

(503) 654-1003

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation, Sports Medicine

Education

West Coast Chiropractic College, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SCSM IncGroup PAC ID 6204078033, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• SCSM, Inc

  dba Eastside Spine & Injury

  • Chiropractor
  • Milwaukie, OR
  • NPI 1740535681
  Medicare reassignment Care Compare group NPD Authorized official
• Keystone Chiropractic LLC

  • Primary Care Clinic/Center
  • Gladstone, OR
  • NPI 1811246259
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1245338805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 SE KING RD STE 220",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972221613",
            "telephone_number": "503-654-7400",
            "fax_number": "503-654-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 SE KING RD STE 220",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972221613",
            "telephone_number": "503-654-7400",
            "fax_number": "503-654-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "BRIAN",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30134",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500681336",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard L Simmons, PHYSICAL THERAPIST
• Joseph Simonett
• Sean Simons, PA-C
• Catherine Simonson
• Rachel A Simpson, OT
• Daniel Sims, P.T.
• Maria Frances Siri, N.D.
• Donald Joseph Sirianni, DMD
• Carolyn A Sites, DO
• Eliot Sitt, L.AC

• Chiropractor in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.