Active NPI
Brian K. McIntyre, D.C.
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1275545840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CE005664
- Practice address
- 1415 S Big Bend Blvd
Saint Louis, MO 63117-2203 - Phone
- (314) 644-7776
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CE005664 | MO | Primary |
Addresses
Primary practice location
1415 S Big Bend Blvd
Saint Louis, MO 63117-2203
Mailing address
1415 S Big Bend Blvd
Saint Louis, MO 63117-2203
Phone (314) 644-7776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1415 S Big Bend Blvd
Saint Louis, MO 63117-2203
Phone (314) 644-7776
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CE005664 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McIntyre Chiropractic & Acupuncture Centre, LLC | Chiropractor | Current | Accepting new patients |
Locations
1415 S Big Bend Blvd
Saint Louis, MO 63117
Phone (314) 644-3202
Organizations & group practices 1
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.
-
- Chiropractor
- Saint Louis, MO
- NPI 1205848579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1275545840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 S BIG BEND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631172203",
"telephone_number": "314-644-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 S BIG BEND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631172203",
"telephone_number": "314-644-7776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "BRIAN",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "CE005664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.