Brimhall Chiropractic Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

NM1708 Issued in NM

Legal business name

BRIMHALL CHIROPRACTIC WELLNESS LLC

Practice address

6610 E Main St
Farmington, NM 87402

Phone

(505) 324-1111

Fax

(505) 324-1111

NPI assigned

Oct 19, 2007

Last updated

Oct 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ezekiel Bruce Brimhall, DCNPI 1184813743

Title

Senior Manager of Corporation

Phone

(505) 324-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ezekiel B Brimhall, DC

  • Chiropractor
  • Farmington, NM
  • NPI 1184813743
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1356530927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 E MAIN ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87402",
            "telephone_number": "505-324-1111",
            "fax_number": "505-324-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 E MAIN ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87402",
            "telephone_number": "505-324-1111",
            "fax_number": "505-324-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIMHALL CHIROPRACTIC WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "BRIMHALL",
        "authorized_official_first_name": "EZEKIEL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "SENIOR MANAGER OF CORPORATION",
        "authorized_official_telephone_number": "505-324-1111",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "NM1708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Lee Breeden, M.D.
• Barbara Brenner
• Melynda Brenton, M.S., ATC-L
• Collin Lloyd Brett
• Kathryn Brickey
• Brimhall Corporation
• Ezekiel B Brimhall, DC
• Mary A Briody, CCC-SLP
• Bryan Kent Broadbent, DPM
• Marc S. Broadway, B.A., SAA

• Chiropractor in Farmington, NM
• Providers in Farmington, NM by specialty
• Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.