Active NPI
Brenda M. Nairn, D.C.
- Chiropractor
- Versailles, MO
National Provider Identifier
1427271691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006757
- Practice address
- 300 S Monroe St
Versailles, MO 65084-1300 - Phone
- (573) 378-2500
- NPI assigned
- Apr 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 006757 | MO | Primary |
Addresses
Primary practice location
300 S Monroe St
Versailles, MO 65084-1300
Mailing address
300 S Monroe St
Versailles, MO 65084-1300
Phone (573) 378-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00056545 | Other | MO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040302001272 | MO | Practitioner - Chiropractic | 6608771456 | Practice locations: Versailles, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 S Monroe
Versailles, MO 65084-1300
Phone (573) 378-2500
300 S Monroe St
Versailles, MO 65084-1300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006757 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427271691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S MONROE ST",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650841300",
"telephone_number": "573-378-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S MONROE ST",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650841300",
"telephone_number": "573-378-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIRN",
"first_name": "BRENDA",
"middle_name": "M.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "006757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00056545",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Versailles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.