Kenneth Paul Brassie, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10149 Issued in TX

Practice address

1030 E Highway 377
Ste. #114
Granbury, TX 76048-1456

Phone

(817) 573-0500

Fax

(817) 573-0501

NPI assigned

Nov 1, 2006

Last updated

Mar 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Comprehensive Chiropractic PA

  • Medical Specialty Clinic/Center
  • Granbury, TX
  • NPI 1215055058
  Medicare reassignment NPD Authorized official
• Baum Chiropractic, LLC

  dba Baum and Brassie Chiropractic

  • Chiropractor
  • Ballwin, MO
  • NPI 1043155369
  NPD (past)
• Brassie Chiropractic LLC

  • Chiropractor
  • Ballwin, MO
  • NPI 1245587864
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1447337613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 E HIGHWAY 377",
            "address_2": "STE. #114",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481456",
            "telephone_number": "817-573-0500",
            "fax_number": "817-573-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E HIGHWAY 377",
            "address_2": "STE. #114",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481456",
            "telephone_number": "817-573-0500",
            "fax_number": "817-573-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSIE",
        "first_name": "KENNETH",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL #",
            "identifier": "8U4210",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL",
            "identifier": "8F1781",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0067MY",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "628577",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenda Ann Boyd, MSN, FNP-BC
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• Aimee Branch, DNP, FNP-C
• Justin W Brassie, D.C.
• Ashley Brawner, PT, DPT
• Brazos Emergency Medicine Associates, PA
• Brazos Foot and Ankle Clinic P.a.
• Brazos Physician Services, PA
• Brazos Urology Clinic P a

• Chiropractor in Granbury, TX
• Providers in Granbury, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.