Nicole Elise Breivogel, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3504 Issued in MA

Practice address

681 Falmouth Rd Ste B21
Mashpee, MA 02649-6312

Phone

(508) 644-1976

NPI assigned

Dec 29, 2014

Last updated

Dec 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nicole Breivogel DC, LLC

  dba Cape Cod Chiropractic

  • Chiropractor
  • Mashpee, MA
  • NPI 1427535236
  NPD Authorized official
• Framingham Chiropractor Inc

  • Chiropractor
  • Framingham, MA
  • NPI 1417615592
  NPD

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1417345430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 FALMOUTH RD STE B21",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026496312",
            "telephone_number": "508-644-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 FALMOUTH RD STE B21",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026496312",
            "telephone_number": "508-644-1976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Willard St",
            "address_2": "Suite 2A",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021691200",
            "country_code": "US",
            "telephone_number": "617-471-4491",
            "fax_number": "617-471-1114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREIVOGEL",
        "first_name": "NICOLE",
        "middle_name": "ELISE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012614",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417345430",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John S. Bonino
• Jinal Vinodkumar Bordiya
• Tiffany Elizabeth Borsari, PA-C
• Patricia Bradbury, MED, MLADC, CAGS
• Jane Brady
• Brican Homecare of Cape Cod LLC
• Pamela W Brighton, LMHC
• Christina Broderick, RN
• Kristy Kedian Brown, D.O.
• Mariellen Burke, DIPL. AC.(NCCAOM)

• Chiropractor in Mashpee, MA
• Providers in Mashpee, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.