Active NPI
Brent M Musolf, D.C.
- Chiropractor
- Bad Axe, MI
National Provider Identifier
1356434369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008010
- Practice address
- 305 E Huron Ave Ste 9
Bad Axe, MI 48413-1448 - Phone
- (989) 269-7300
- Fax
- (989) 269-7303
- NPI assigned
- Oct 2, 2006
- Last updated
- Feb 3, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301008010 | MI | Primary |
Addresses
Primary practice location
305 E Huron Ave Ste 9
Bad Axe, MI 48413-1448
Mailing address
3159 Shore Dr
Port Austin, MI 48467-9726
Phone (989) 975-0062
Other practice location 1
8547 Pacheco Rd
Bakersfield, CA 93311-8602
Phone (989) 975-2977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950C21039 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Health Systems PLLC | Chiropractor | Past | Accepting new patients |
| Acure Home Care, Inc. | Past | Accepting new patients |
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.
-
- Home Health Agency
- Oak Park, MI
- NPI 1992863716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1356434369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3159 SHORE DR",
"city": "PORT AUSTIN",
"state": "MI",
"postal_code": "484679726",
"telephone_number": "989-975-0062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 E HURON AVE STE 9",
"city": "BAD AXE",
"state": "MI",
"postal_code": "484131448",
"telephone_number": "989-269-7300",
"fax_number": "989-269-7303"
}
],
"practiceLocations": [
{
"address_1": "8547 Pacheco Rd",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933118602",
"country_code": "US",
"telephone_number": "989-975-2977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUSOLF",
"first_name": "BRENT",
"middle_name": "M",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "950C21039",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bad Axe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.