Individual provider Active NPI

David Zachary Brazzell, DC

  • Chiropractor
  • Sugar Land, TX
National Provider Identifier
1386284586
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14297 Issued in TX
Practice address
167 Citadel Way
Sugar Land, TX 77479-7147
Phone
(281) 980-1050
Fax
(281) 980-1348
NPI assigned
Jan 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14297 TX Primary

Addresses

Primary practice location

167 Citadel Way
Sugar Land, TX 77479-7147

Mailing address

167 Citadel Way
Sugar Land, TX 77479-7147
Phone (281) 980-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200319002349 TX Practitioner - Chiropractic 1254769524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4655 Sweetwater Blvd
Sugar Land, TX 77479-3015
Phone (281) 909-7317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14297TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Chiropractic and Performance Chiropractor CurrentSince Feb 29, 2024 Accepting new patients
Harris Neck & Back Clinic, P.C. Chiropractor CurrentSince Feb 1, 2020 Accepting new patients
Harris Neck & Back Pain Clinic Chiropractor PastSince Jan 1, 2020 Accepting new patients

Locations

167 Citadel Way
Ste 500
Sugar Land, TX 77479
Phone (281) 980-1050

3425 Highway 6
Ste 101
Sugar Land, TX 77478
Phone (281) 980-1050

4655 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (281) 909-7317

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1386284586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 CITADEL WAY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797147",
            "telephone_number": "281-980-1050",
            "fax_number": "281-980-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 CITADEL WAY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797147",
            "telephone_number": "281-980-1050",
            "fax_number": "281-980-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZZELL",
        "first_name": "DAVID",
        "middle_name": "ZACHARY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.