NPIMap

Organization Active NPI

Brohl Healthcare, Inc.

Doing business as Spring Meadows Chiropractic

  • Sports Physician Chiropractor
  • Holland, OH
National Provider Identifier
1447320130
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2089 Issued in OH
Legal business name
BROHL HEALTHCARE, INC.
Doing business as
Spring Meadows Chiropractic
Practice address
6823 Spring Valley Dr.
Holland, OH 43528
Phone
(419) 866-6325
Fax
(419) 866-2020
NPI assigned
Nov 9, 2006
Last updated
Aug 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Dr. Shawn K Brohl, D.C.NPI 1215933288
Title
Chiropractor/Owner
Phone
(419) 866-6325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 2089 OH Primary

Addresses

Primary practice location

6823 Spring Valley Dr.
Holland, OH 43528

Mailing address

6823 Spring Valley Dr
Holland, OH 43528
Phone (419) 866-6325

Other identifiers 4

IdentifierTypeStateIssuer
000000121954OtherOHANTHEM
0107637MedicaidOH
703052OtherOHBUCKEYE COMMUNITY HEALTH
02917OtherOHPARAMOUNT

Other names 1

  • Spring Meadows Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120515000486 OH Part B Supplier - Clinic/Group Practice 2365463742 Receives reassigned benefits from 1 practitioner
Practice locations: Holland, OH

National Provider Directory

National Provider Directory

Locations

6823 Spring Valley Dr
Holland, OH 43528
Phone (419) 866-6325

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1447320130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823 SPRING VALLEY DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "43528",
            "telephone_number": "419-866-6325",
            "fax_number": "419-866-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 SPRING VALLEY DR.",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "43528",
            "telephone_number": "419-866-6325",
            "fax_number": "419-866-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROHL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "BROHL",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "419-866-6325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "2089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000121954",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107637",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY HEALTH",
            "identifier": "703052",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "02917",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Meadows Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.