Individual provider Active NPI

Bret T Grimes, DC

  • Chiropractor
  • Bettendorf, IA
National Provider Identifier
1295187250
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
083132 Issued in IA
Practice address
3456 Holiday CT
Bettendorf, IA 52722-3551
Phone
(563) 332-7110
Fax
(563) 332-7234
NPI assigned
Jul 1, 2016
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 083132 IA Primary

Addresses

Primary practice location

3456 Holiday CT
Bettendorf, IA 52722-3551

Mailing address

3456 Holiday CT
Bettendorf, IA 52722-3551
Phone (563) 332-7110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160707000703 IA Practitioner - Chiropractic 5092007310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livewell Chiropractic and WellnessGroup PAC ID 7517469653, 5 clinicians

Practice addresses (Care Compare)

3456 Holiday CT
Suite a
Bettendorf, IA 52722-3513
Phone (563) 332-7110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
083132IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Livewell Chiropractic and Wellness Chiropractor CurrentSince Jul 5, 2025 Accepting new patients

Locations

3456 Holiday Ct
Ste A
Bettendorf, IA 52722
Phone (563) 332-7110

3456 Holiday Ct
Bettendorf, IA 52722
Phone (563) 332-7110

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1295187250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 HOLIDAY CT",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223551",
            "telephone_number": "563-332-7110",
            "fax_number": "563-332-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 HOLIDAY CT",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223551",
            "telephone_number": "563-332-7110",
            "fax_number": "563-332-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "BRET",
        "middle_name": "T",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-01",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "083132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.