Brentwood Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BRENTWOOD CHIROPRACTIC, LLC

Doing business as

HealthSource of Maryland Farms

Practice address

5107 Maryland Way Ste 110
Brentwood, TN 37027-7565

Phone

(615) 307-0902

NPI assigned

Feb 14, 2023

Organization subpart

No

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

Authorized official

Name

Jay Schroder, DCNPI 1861401911

Title

Owner

Phone

(615) 438-8579

Specialties & licenses 1

Addresses

Other names 1

• HealthSource of Maryland Farms Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay K Schroder, DC

  • Chiropractor
  • Franklin, TN
  • NPI 1861401911
  Medicare reassignment NPD Authorized official
• Todd Allen McGilvra, D.C.

  • Chiropractor
  • Murfreesboro, TN
  • NPI 1093748246
  Medicare reassignment NPD

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1437856986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 MARYLAND WAY STE 110",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 MARYLAND WAY STE 110",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277565",
            "telephone_number": "615-307-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "SCHRODER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-438-8579",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of Maryland Farms",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthSource of Maryland Farms",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brentwood Childrens Clinic
• Brentwood Chiropractic
• Brentwood Chiropractic Clinic
• Brentwood Counseling Associates LLC
• Brentwood Dental Associates, PPLC (Sleep Nashville)
• Brentwood Dental Center
• Brentwood Dental Excellence, PC
• Brentwood Dental Specialists

• Chiropractor in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.