Individual provider Active NPI

Nigel Brayer, D.C.

  • Chiropractor
  • North Royalton, OH
National Provider Identifier
1316943467
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3151 Issued in OH
Practice address
11443 State Rd
North Royalton, OH 44133-3262
Phone
(440) 877-9440
Fax
(440) 877-9446
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3151 OH Primary

Addresses

Primary practice location

11443 State Rd
North Royalton, OH 44133-3262

Mailing address

11443 State Rd
North Royalton, OH 44133-3262
Phone (440) 877-9440

Other identifiers 10

IdentifierTypeStateIssuer
1385OtherCHIROPRACTIC LIFECARE OF
640281OtherACN
3151OtherOHSTATE LICENSE
664821523OtherMEDICAL MUTUAL REFERRAL
1810903OtherUNITED HEALTHCARE
9119098823A12OtherANTHEM BC/BS
0005078OtherCIGNA 3
2448848MedicaidOH
2783428OtherAETNA
5471676OtherAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050518000716 OH Practitioner - Chiropractic 7416998620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3151OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Reed Chiropractic and Acupuncture Clinic LLC Chiropractor CurrentSince Aug 11, 2024 Accepting new patients
Brayer Chiropractic PS CurrentSince May 23, 2005 Accepting new patients
Advantage Chiropratic & Massage, P.S. Chiropractor Past Accepting new patients

Locations

203 E Royalton Rd
Ste 108
Broadview Hts, OH 44147
Phone (440) 526-4940

11443 State Rd
Ste 1
North Royalton, OH 44133

11443 State Rd
#F
North Royalton, OH 44133
Phone (440) 526-4940

11443 State Rd
North Royalton, OH 44133
Phone (440) 877-9440

Organizations & group practices 3

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1316943467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11443 STATE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333262",
            "telephone_number": "440-877-9440",
            "fax_number": "440-877-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11443 STATE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333262",
            "telephone_number": "440-877-9440",
            "fax_number": "440-877-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAYER",
        "first_name": "NIGEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LIFECARE OF",
            "identifier": "1385",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "640281",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3151",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL REFERRAL",
            "identifier": "664821523",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1810903",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "9119098823A12",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA 3",
            "identifier": "0005078",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2448848",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2783428",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5471676",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.