Individual provider Active NPI

Brian Edward Trieb, D.C.

  • Chiropractor
  • Ormond Beach, FL
National Provider Identifier
1265705636
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10564 Issued in FL
Practice address
26 N Beach St Ste B
Ormond Beach, FL 32174-5656
Phone
(386) 673-0201
Fax
(386) 677-8143
NPI assigned
Feb 16, 2012
Last updated
Apr 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10564 FL Primary

Addresses

Primary practice location

26 N Beach St Ste B
Ormond Beach, FL 32174-5656

Mailing address

26 N Beach St Ste B
Ormond Beach, FL 32174-5656
Phone (386) 673-0201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120416000344 FL Practitioner - Chiropractic 8820259013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Palms Chiropractic Health Center IncGroup PAC ID 1456316660, 4 clinicians

Practice addresses (Care Compare)

808 E Venice Ave
Venice, FL 34285-7039
Phone (941) 412-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Palms Chiropractic Health Center Inc Chiropractor CurrentSince Jan 30, 2024 Accepting new patients
Health in Motion Chiropractic Chiropractor PastSince May 12, 2014 Accepting new patients

Locations

808 E Venice Ave
Venice, FL 34285
Phone (941) 412-3800

Organizations & group practices 2

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": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1265705636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 N BEACH ST STE B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745656",
            "telephone_number": "386-673-0201",
            "fax_number": "386-677-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 N BEACH ST STE B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745656",
            "telephone_number": "386-673-0201",
            "fax_number": "386-677-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIEB",
        "first_name": "BRIAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.