Active NPI
Brent Gregory Cullen, DC
- Chiropractor
- West Chester, OH
National Provider Identifier
1407922487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3380
- Practice address
- 7276 Liberty Way
West Chester, OH 45069-1519 - Phone
- (513) 365-2292
- Fax
- (513) 759-3462
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 3380 | OH | Primary |
Addresses
Primary practice location
7276 Liberty Way
West Chester, OH 45069-1519
Mailing address
7276 Liberty Way
West Chester, OH 45069-1519
Phone (513) 365-2292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2798914 | Medicaid | OH | |
| 3031696 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3380 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W J Geier Inc | Chiropractor | Past | Accepting new patients |
| Loveland Chiropractic Offices, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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
- Loveland, OH
- NPI 1285700278
-
- Neurology Chiropractor
- West Chester, OH
- NPI 1306959952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1407922487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7276 LIBERTY WAY",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450691519",
"telephone_number": "513-365-2292",
"fax_number": "513-759-3462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7276 LIBERTY WAY",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450691519",
"telephone_number": "513-365-2292",
"fax_number": "513-759-3462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "BRENT",
"middle_name": "GREGORY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2798914",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3031696",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.