Organization Active NPI

Complete Vitality LLC

Doing business as MedSpine

  • Chiropractor
  • Decatur, AL
National Provider Identifier
1285510644
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Brent A Tidwell, DCNPI 1154438802
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Complete Vitality LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.