Diagnostic Chiropractic Center of the Southwest, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5784 Issued in TX

Legal business name

DIAGNOSTIC CHIROPRACTIC CENTER OF THE SOUTHWEST, INC.

Practice address

2501 Paredes Line Rd
Suite B1
Brownsville, TX 78526-1193

Phone

(956) 544-0322

Fax

(956) 982-4229

NPI assigned

Aug 23, 2007

Last updated

Aug 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Todd Brewer, D.C.NPI 1295747921

Title

President/Doctor of Chiropractic

Phone

(956) 544-0322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Richard Todd Brewer, D.C.

  • Chiropractor
  • Brownsville, TX
  • NPI 1295747921
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1417140476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PAREDES LINE RD",
            "address_2": "SUITE B1",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261193",
            "telephone_number": "956-544-0322",
            "fax_number": "956-982-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PAREDES LINE RD",
            "address_2": "SUITE B1",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261193",
            "telephone_number": "956-544-0322",
            "fax_number": "956-982-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC CHIROPRACTIC CENTER OF THE SOUTHWEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "956-544-0322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.