Brett Roberts Coryell, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 003861-L Issued in PA

Practice address

2493 Milford Rd Ste 300
East Stroudsburg, PA 18301-9720

Phone

(570) 223-7211

Fax

(570) 223-7545

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Marshalls Creek Chiropractic

  • Orthopedic Chiropractor
  • East Stroudsburg, PA
  • NPI 1134389265
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1376552042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2493 MILFORD RD STE 300",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019720",
            "telephone_number": "570-223-7211",
            "fax_number": "570-223-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2493 MILFORD RD STE 300",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019720",
            "telephone_number": "570-223-7211",
            "fax_number": "570-223-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORYELL",
        "first_name": "BRETT",
        "middle_name": "ROBERTS",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 003861-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "CO006938",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florence Corcoran, P.T.
• Richard Cornish
• Raul Coronado, M.D.
• Deborah A. Correale, PA-C
• Anne Marie Coryell, D.C
• Jeffrey Costanzo, MD
• Darell T. Covington, M.D.
• Margaret Coward
• Tara Coyne, PHARMD
• Idah Craig-Wankiiri

• Chiropractor in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.

Verify at the official NPI Registry.