Active NPI
Brian James Wiersma, D.C.
- Chiropractor
- Nashville, TN
National Provider Identifier
1356488498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0000001452
- Practice address
- 201 Thompson LN
Suite #103
Nashville, TN 37211-2436 - Phone
- (615) 331-7040
- NPI assigned
- Jan 30, 2007
- Last updated
- Jun 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | DC0000001452 | TN | Primary |
Addresses
Primary practice location
201 Thompson LN
Suite #103
Nashville, TN 37211-2436
Mailing address
525 W Main St
Lebanon, TN 37087-3460
Phone (615) 449-6700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2247015 | Other | TN | AETNA - HMO |
| 5915513 | Other | TN | AETNA - NON HMO |
| 621805796 | Other | TN | PHCS |
| 3139529 | Other | TN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090818000709 | TN | Practitioner - Chiropractic | 1456405950 | Practice locations: Lebanon, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
525 W Main St
Lebanon, TN 37087-3460
Phone (615) 449-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1452 | TN | MD | Marriage & Family Therapist |
| DC0000001452 | TN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1356488498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 W MAIN ST",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873460",
"telephone_number": "615-449-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 THOMPSON LN",
"address_2": "SUITE #103",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372112436",
"telephone_number": "615-331-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIERSMA",
"first_name": "BRIAN",
"middle_name": "JAMES",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000001452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - HMO",
"identifier": "2247015",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - NON HMO",
"identifier": "5915513",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "621805796",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3139529",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.