Individual provider Active NPI

Frederick Von Brincken, D.C.

  • Chiropractor
  • Benson, AZ
National Provider Identifier
1427441146
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4956 Issued in AZ
Practice address
338 E 4TH St
Benson, AZ 85602
Phone
(520) 586-9364
Fax
(520) 586-1856
NPI assigned
Mar 5, 2015
Last updated
Aug 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4956 AZ Primary

Addresses

Primary practice location

338 E 4TH St
Benson, AZ 85602

Mailing address

338 E 4TH St
Benson, AZ 85602-6614
Phone (520) 586-9364

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829000556 AZ Practitioner - Chiropractic 5698706786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

338 E 4TH St
Benson, AZ 85602-6614
Phone (520) 586-9364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4956AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Ways PLLC Chiropractor CurrentSince Oct 23, 2017 Accepting new patients
First Chiropractic - Camino LLC Chiropractor Past Accepting new patients
First Chiropractic - Oracle LLC Chiropractor Past Accepting new patients

Locations

338 E 4th St
Benson, AZ 85602
Phone (520) 586-9364

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1427441146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 E 4TH ST",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026614",
            "telephone_number": "520-586-9364",
            "fax_number": "520-586-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 E 4TH ST",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "85602",
            "telephone_number": "520-586-9364",
            "fax_number": "520-586-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON BRINCKEN",
        "first_name": "FREDERICK",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-05",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.