Individual provider Active NPI

Brenda Ann Forrest, MT

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1265696181
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MA25217 Issued in FL
Practice address
1325 S Congress Ave
Suite 105-106
Boynton Beach, FL 33426-5876
Phone
(561) 736-8060
NPI assigned
Jul 10, 2008
Last updated
Jul 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MA25217 FL Primary

Addresses

Primary practice location

1325 S Congress Ave
Suite 105-106
Boynton Beach, FL 33426-5876

Mailing address

404 NW 9TH Ave
Pompano Beach, FL 33060-5950
Phone (954) 205-3551

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)
Not enrolled
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MA25217FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1265696181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 NW 9TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330605950",
            "telephone_number": "954-205-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S CONGRESS AVE",
            "address_2": "SUITE 105-106",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265876",
            "telephone_number": "561-736-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "BRENDA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "MA25217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.