Individual provider Active NPI

Brian Scott Edwards

  • Chiropractor
  • Coral Springs, FL
National Provider Identifier
1306917315
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8204 Issued in FL
Practice address
9825 W Sample Rd Ste 101
# 109
Coral Springs, FL 33065-4040
Phone
(954) 915-7399
Fax
(954) 944-0355
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8204 FL Primary

Addresses

Primary practice location

9825 W Sample Rd Ste 101
# 109
Coral Springs, FL 33065-4040

Mailing address

9825 W Sample Rd Ste 101
# 109
Coral Springs, FL 33065-4040
Phone (954) 915-7399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130520000441 FL Practitioner - Chiropractic 9436396009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9825 W Sample Rd
Suite 101
Coral Springs, FL 33065-4040
Phone (954) 915-7399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6584GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Chiropractic Inc Chiropractor CurrentSince Jul 24, 2018 Accepting new patients
Brian Scott Edwards, D.C., P.a. Chiropractor CurrentSince Jan 7, 2002 Accepting new patients

Locations

9825 W Sample Rd
Ste 101
Coral Springs, FL 33065
Phone (954) 255-8499

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1306917315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 W SAMPLE RD STE 101",
            "address_2": "# 109",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654040",
            "telephone_number": "954-915-7399",
            "fax_number": "954-944-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 W SAMPLE RD STE 101",
            "address_2": "# 109",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654040",
            "telephone_number": "954-915-7399",
            "fax_number": "954-944-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.