Individual provider Active NPI

Brett Richard Renslow, CHIROPRACTOR

  • Chiropractor
  • Weston, FL
National Provider Identifier
1427025972
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9153 Issued in FL
Practice address
2883 Executive Park Dr
Suite #102
Weston, FL 33331-3662
Phone
(954) 217-0234
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9153 FL Primary

Addresses

Primary practice location

2883 Executive Park Dr
Suite #102
Weston, FL 33331-3662

Mailing address

2883 Executive Park Dr
Suite #102
Weston, FL 33331-3662
Phone (954) 217-0234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070925000625 FL Practitioner - Chiropractic 2860433422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4631 NW 53Rd Ave
Suite 106
Gainesville, FL 32653-3402
Phone (352) 451-4226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9153FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Solutions Chiropractic Incorporated Chiropractor CurrentSince Jul 26, 2006 Accepting new patients
Dynamix Rehab LLC Past Accepting new patients

Locations

4631 NW 53rd Ave
Ste 106
Gainesville, FL 32653
Phone (352) 378-8500

2751 Executive Park Dr
Ste 202
Weston, FL 33331
Phone (954) 217-0234

2883 Executive Park Dr
Ste 102
Weston, FL 33331
Phone (954) 217-0234

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.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1427025972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 EXECUTIVE PARK DR",
            "address_2": "SUITE #102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313662",
            "telephone_number": "954-217-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2883 EXECUTIVE PARK DR",
            "address_2": "SUITE #102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313662",
            "telephone_number": "954-217-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENSLOW",
        "first_name": "BRETT",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.