Individual provider Active NPI

Brenda M. Nairn, D.C.

  • Chiropractor
  • Versailles, MO
National Provider Identifier
1427271691
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006757 Issued in MO
Practice address
300 S Monroe St
Versailles, MO 65084-1300
Phone
(573) 378-2500
NPI assigned
Apr 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00056545OtherMORAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
006757MOMDChiropractor

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.

Verify at the official NPI Registry.