Organization Active NPI

Brassie Chiropractic LLC

  • Chiropractor
  • Ballwin, MO
National Provider Identifier
1245587864
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2004030216 Issued in MO
Legal business name
BRASSIE CHIROPRACTIC LLC
Practice address
972 Kehrs Mill Rd
Ballwin, MO 63011-2402
Phone
(636) 394-4101
Fax
(636) 394-3022
NPI assigned
Aug 14, 2012
Last updated
Aug 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Dr. Joel Andrew Brassie, D.C.NPI 1912071838
Title
Chiropractor
Phone
(636) 394-4101

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 2004030216 MO Primary

Addresses

Primary practice location

972 Kehrs Mill Rd
Ballwin, MO 63011-2402

Mailing address

972 Kehrs Mill Rd
Ballwin, MO 63011-2402
Phone (636) 394-4101

Other names 1

  • Joel A Brassie, D.C. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130301000316 MO Part B Supplier - Clinic/Group Practice 1355596016 Receives reassigned benefits from 1 practitioner
Practice locations: Ballwin, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1245587864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 KEHRS MILL RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112402",
            "telephone_number": "636-394-4101",
            "fax_number": "636-394-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 KEHRS MILL RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112402",
            "telephone_number": "636-394-4101",
            "fax_number": "636-394-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRASSIE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "BRASSIE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "636-394-4101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004030216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joel A Brassie, D.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.

Verify at the official NPI Registry.