NPIMap

Organization Active NPI

Nexus Spine & Sport PLLC

  • Chiropractor
  • Shelby TWP, MI
National Provider Identifier
1366900862
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEXUS SPINE & SPORT PLLC
Practice address
52935 Mound Rd
Shelby TWP, MI 48316-3266
Phone
(586) 457-0234
NPI assigned
Mar 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Bradley Annas, DCNPI 1689132169
Title
Owner/Chiropractor
Phone
(586) 457-0234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

52935 Mound Rd
Shelby TWP, MI 48316-3266

Mailing address

2065 Clearwood CT
Shelby TWP, MI 48316-1015
Phone (586) 457-0234

National Provider Directory

National Provider Directory

Locations

52935 Mound Rd
Shelby Township, MI 48316
Phone (248) 689-7855

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1366900862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 CLEARWOOD CT",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483161015",
            "telephone_number": "586-457-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52935 MOUND RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483163266",
            "telephone_number": "586-457-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS SPINE & SPORT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ANNAS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "586-457-0234",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.