Individual provider Active NPI

Brian David Anderson, D.C.

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1295843480
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4679 Issued in KY
Practice address
7707 Preston Hwy
Louisville, KY 40219-3138
Phone
(502) 962-2277
Fax
(502) 962-1001
NPI assigned
Aug 28, 2006
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4679 KY Primary

Addresses

Primary practice location

7707 Preston Hwy
Louisville, KY 40219-3138

Mailing address

7707 Preston Hwy
Louisville, KY 40219-3138
Phone (502) 962-2277

Other practice location 1

205 Letton Dr
Paris, KY 40361-2251
Phone (859) 592-4305

Other practice location 2

3934 Dixie Hwy Ste 345
Louisville, KY 40216
Phone (502) 365-3701

Other identifiers 1

IdentifierTypeStateIssuer
85002301MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727000018 KY Practitioner - Chiropractic 5395772289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preston Chiropractic and Rehabilitation LLCGroup PAC ID 5395703797, 3 clinicians

Practice addresses (Care Compare)

7707 Preston Hwy
Louisville, KY 40219-3138
Phone (502) 962-2277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4679KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Chiropractic and Rehabilitation LLC Chiropractor CurrentSince Sep 11, 2023 Accepting new patients
Platinum Healthcare Physical Medicine, PLLC Past Accepting new patients
Anderson Chiropractic, PSC Chiropractor PastSince Feb 7, 2005 Accepting new patients
Dana C. O'Neil, D.C., P.S.C. Chiropractor PastSince Jul 7, 2003 Accepting new patients
Smith Chiropractic, PLLC Chiropractor Past Accepting new patients
Evans Chiropractic PSC Past Accepting new patients
Platinum Healthcare Physical Medicine, PLLC PastSince Jun 1, 2010 Accepting new patients

Locations

7707 Preston Hwy
Louisville, KY 40219
Phone (502) 962-2277

Organizations & group practices 7

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1295843480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193138",
            "telephone_number": "502-962-2277",
            "fax_number": "502-962-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193138",
            "telephone_number": "502-962-2277",
            "fax_number": "502-962-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Letton Dr",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "KY",
            "postal_code": "403612251",
            "country_code": "US",
            "telephone_number": "859-592-4305",
            "fax_number": "859-592-4306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3934 Dixie Hwy Ste 345",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40216",
            "country_code": "US",
            "telephone_number": "502-365-3701",
            "fax_number": "502-205-9955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002301",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.