Active NPI
Complete Vitality LLC
Doing business as MedSpine
- Chiropractor
- Decatur, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- COMPLETE VITALITY LLC
- Doing business as
- MedSpine
- Practice address
- 2605 Danville Road SW
Decatur, AL 35603 - Phone
- (205) 561-6010
- Fax
- (855) 975-3042
- NPI assigned
- Aug 12, 2025
- Last updated
- Aug 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brent A Tidwell, DC
- Title
- Managing Partner
- Phone
- (205) 752-7503
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
2605 Danville Road SW
Decatur, AL 35603
Mailing address
819 Mimosa Park Road
Ste D
Tuscaloosa, AL 35405
Phone (205) 561-6010
Other names 1
- MedSpine
National Provider Directory
National Provider Directory- Tax ID family
- Complete Vitality LLC
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Saraland, AL
- NPI 1417833765
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Tuscaloosa, AL
- NPI 1154438802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754956800000",
"number": "1285510644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 MIMOSA PARK ROAD",
"address_2": "STE D",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "35405",
"telephone_number": "205-561-6010",
"fax_number": "855-975-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 DANVILLE ROAD SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "35603",
"telephone_number": "205-561-6010",
"fax_number": "855-975-3042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE VITALITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-12",
"last_updated": "2025-08-12",
"status": "A",
"authorized_official_last_name": "TIDWELL",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "205-752-7503",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MedSpine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.