Tricia Adeline Brereton, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2008000409 Issued in MO

Practice address

110 E Pitman St
O Fallon, MO 63366-2619

Phone

(636) 272-4625

Fax

(636) 240-3522

NPI assigned

Mar 27, 2008

Last updated

Mar 27, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ofallon Chiropractic & Acupuncture LLC

  • Chiropractor
  • O'Fallon, MO
  • NPI 1821108143
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1245402502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E PITMAN ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662619",
            "telephone_number": "636-272-4625",
            "fax_number": "636-240-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E PITMAN ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662619",
            "telephone_number": "636-272-4625",
            "fax_number": "636-240-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRERETON",
        "first_name": "TRICIA",
        "middle_name": "ADELINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2008000409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Branco, FNP-C
• Alexis Lillian Branham, DPT
• Samantha L Branson, FNP
• Brave Hearts LLC
• Kelly Marie Brazill
• Christina Denise Brimm, LPC
• Ryan Brinker, DC
• Mark James Brommelhorst, RPH
• Kathleen A Brooks, FNP
• Melissa Warner Brothers, MS CCC SLP

• Chiropractor in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.