Active NPI
Brettany Lee Hummert, D.C.
- Chiropractor
- Webster Groves, MO
National Provider Identifier
1275831760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2011012849
- Practice address
- 23 N Gore Ave
Ste 210
Webster Groves, MO 63119-2300 - Phone
- (314) 991-5655
- Fax
- (314) 991-4872
- NPI assigned
- Mar 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 2011012849 | MO | Primary |
Addresses
Primary practice location
23 N Gore Ave
Ste 210
Webster Groves, MO 63119-2300
Mailing address
23 N Gore Ave
Ste 210
Webster Groves, MO 63119-2300
Phone (314) 991-5655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110801000017 | MO | Practitioner - Chiropractic | 7618145087 | Practice locations: Webster Groves, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
23 N Gore Ave
Suite 210
Webster Groves, MO 63119-2300
Phone (314) 961-7605
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011012849 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1275831760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 N GORE AVE",
"address_2": "STE 210",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631192300",
"telephone_number": "314-991-5655",
"fax_number": "314-991-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 N GORE AVE",
"address_2": "STE 210",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631192300",
"telephone_number": "314-991-5655",
"fax_number": "314-991-4872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMMERT",
"first_name": "BRETTANY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-07",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2011012849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster Groves, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.