Active NPI
Donald Patrick Bresnahan, D.C.
- Chiropractor
- Virginia Beach, VA
National Provider Identifier
1376580308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 104000492
- Practice address
- 1917 Laskin Rd
Suite 108
Virginia Beach, VA 23454-4283 - Phone
- (757) 491-4600
- Fax
- (757) 491-0578
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 104000492 | VA | Primary |
Addresses
Primary practice location
1917 Laskin Rd
Suite 108
Virginia Beach, VA 23454-4283
Mailing address
1917 Laskin Rd
Suite 108
Virginia Beach, VA 23454-4283
Phone (757) 491-4600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00116450 | Other | VA | RAILROAD MEDICARE PTAN |
| 043307 | Other | VA | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1917 Laskin Rd
Suite 108
Virginia Beach, VA 23454-4283
Phone (757) 491-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104000492 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Messiah & Son, Inc. | Chiropractor | Current | Accepting new patients |
Locations
1917 Laskin Rd
Ste 108
Virginia Beach, VA 23454
Phone (757) 491-4600
Organizations & group practices 1
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.
-
- Chiropractor
- Virginia Beach, VA
- NPI 1649381005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1376580308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 LASKIN RD",
"address_2": "SUITE 108",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544283",
"telephone_number": "757-491-4600",
"fax_number": "757-491-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1917 LASKIN RD",
"address_2": "SUITE 108",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544283",
"telephone_number": "757-491-4600",
"fax_number": "757-491-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESNAHAN",
"first_name": "DONALD",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "104000492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00116450",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "043307",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.