Brian Scott Weathersby, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7442 Issued in AZ

Practice address

1585 S Plaza Way
Suite 150
Flagstaff, AZ 86001-7156

Phone

(928) 774-7557

Fax

(928) 774-7557

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Chiropractic and Rehabilitation IncGroup PAC ID 9436398179, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Summit Chiropractic & Rehabilitation Inc

  • Chiropractor
  • Flagstaff, AZ
  • NPI 1326395757
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1285706283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 S PLAZA WAY",
            "address_2": "SUITE 150",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017156",
            "telephone_number": "928-774-7557",
            "fax_number": "928-774-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 S PLAZA WAY",
            "address_2": "SUITE 150",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017156",
            "telephone_number": "928-774-7557",
            "fax_number": "928-774-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERSBY",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Waugh, PH.D.
• Way Above ABA Az LLC
• Way Above ABA Az LLC
• Way Above ABA Az LLC
• Madelynn Rae Weathers
• John Patrick Webb, PHARMD
• Judy Weber, RN
• Jasmin Webster
• Weedman Dental PLLC
• Mikaela Weedman, DMD

• Chiropractor in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.