Active NPI
Corey Brumbaugh
- Chiropractor
- Fairlawn, OH
National Provider Identifier
1437516648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4595
- Practice address
- 2640 W Market St
Suite 101a
Fairlawn, OH 44333-4202 - Phone
- (330) 835-3005
- Fax
- (330) 835-3035
- NPI assigned
- Jan 19, 2016
- Sex
- Male
- 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 | 4595 | OH | Primary |
Addresses
Primary practice location
2640 W Market St
Suite 101a
Fairlawn, OH 44333-4202
Mailing address
2640 W Market St
Suite 101a
Fairlawn, OH 44333-4202
Phone (330) 904-9890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2640 W Market St
Suite 101a
Fairlawn, OH 44333-4202
Phone (330) 835-3005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4595 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brumbaugh Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Wooster Family Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
2640 W Market St
Ste 101A
Fairlawn, OH 44333
Phone (330) 835-3005
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.
-
- Chiropractor
- Fairlawn, OH
- NPI 1861857187
-
- Chiropractor
- Wooster, OH
- NPI 1487479572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1437516648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 W MARKET ST",
"address_2": "SUITE 101A",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443334202",
"telephone_number": "330-904-9890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 W MARKET ST",
"address_2": "SUITE 101A",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443334202",
"telephone_number": "330-835-3005",
"fax_number": "330-835-3035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUMBAUGH",
"first_name": "COREY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-19",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "4595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.