Active NPI
Brian M Rebori, DC
- Chiropractor
- Largo, FL
National Provider Identifier
1306972641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0009206
- Practice address
- 11444 Seminole Blvd
Largo, FL 33778 - Phone
- (727) 393-6100
- Fax
- (727) 393-5461
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH9206 | FL | |
| Chiropractor | 111N00000X | CH0009206 | FL | Primary |
Addresses
Primary practice location
11444 Seminole Blvd
Largo, FL 33778
Mailing address
11444 Seminole Blvd
Largo, FL 33778
Phone (727) 393-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76115 | Other | BCBS FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11444 Seminole Blvd
Largo, FL 33778-3237
Phone (727) 393-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0009206 | FL | MD | Chiropractor |
| CH9206 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiromed Chiropractic Center, Inc | Chiropractor | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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.
-
- Chiropractor
- Largo, FL
- NPI 1205906831
-
- Chiropractor
- Tampa, FL
- NPI 1073568572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1306972641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11444 SEMINOLE BLVD",
"city": "LARGO",
"state": "FL",
"postal_code": "33778",
"telephone_number": "727-393-6100",
"fax_number": "727-393-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11444 SEMINOLE BLVD",
"city": "LARGO",
"state": "FL",
"postal_code": "33778",
"telephone_number": "727-393-6100",
"fax_number": "727-393-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBORI",
"first_name": "BRIAN",
"middle_name": "M",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9206",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0009206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "76115",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.