Individual provider Active NPI

Brenna Salvatore Normandin, D.C.

  • Chiropractor
  • Ashburnham, MA
National Provider Identifier
1285886580
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3238 Issued in MA
Practice address
53 Main St
Ashburnham, MA 01430-1247
Phone
(978) 827-0770
NPI assigned
Oct 17, 2008
Sex
Female
Sole proprietor
No

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25 Cobb Rd
Ashburnham, MA 01430-1210
Phone (978) 827-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160526000083 MA Practitioner - Chiropractic 5698065001 Practice locations: Ashburnham, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3238MAMDRegistered Dietitian

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3238 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

53 Main St
Ashburnham, MA 01430-1247

Mailing address

105 Sanborn St
Fitchburg, MA 01420-3756
Phone (978) 827-0770

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 16, 2010.

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1285886580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SANBORN ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014203756",
            "telephone_number": "978-827-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 MAIN ST",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014301247",
            "telephone_number": "978-827-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMANDIN",
        "first_name": "BRENNA",
        "middle_name": "SALVATORE",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburnham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.