Individual provider Active NPI

Matthew U. Brecher, D.C.

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1356467757
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0007261 Issued in FL
Practice address
4015 N Armenia Ave
Tampa, FL 33607-1001
Phone
(813) 933-5259
Fax
(813) 935-3698
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0007261 FL Primary

Addresses

Primary practice location

4015 N Armenia Ave
Tampa, FL 33607-1001

Mailing address

4015 N Armenia Ave
Tampa, FL 33607-1001
Phone (813) 933-5259

Other identifiers 1

IdentifierTypeStateIssuer
3815765 00MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111013000117 FL Practitioner - Chiropractic 1355513482 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Physical Therapy Inc CurrentSince Oct 23, 2019 Accepting new patients
Active Life Rehab and DME, LLC CurrentSince Feb 3, 2025 Accepting new patients
Tampa Bay Mua Chiropractor Past Accepting new patients

Locations

2701 Park Dr
Ste 1
Clearwater, FL 33763
Phone (727) 796-2187

4015 N Armenia Ave
Tampa, FL 33607
Phone (813) 873-2003

4015 N Armenia Ave
Ste 104
Tampa, FL 33607
Phone (813) 933-5259

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1356467757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071001",
            "telephone_number": "813-933-5259",
            "fax_number": "813-935-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071001",
            "telephone_number": "813-933-5259",
            "fax_number": "813-935-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECHER",
        "first_name": "MATTHEW",
        "middle_name": "U.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3815765 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.