Individual provider Active NPI

Bryan Schuerlein, D.C.

  • Chiropractor
  • Palm Coast, FL
National Provider Identifier
1447618962
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13575 Issued in FL
Practice address
4879 Palm Coast Pkwy NW
Unit 2
Palm Coast, FL 32137-3673
Phone
(386) 225-6134
NPI assigned
Jan 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13575 FL Primary
Chiropractor 111N00000X 012573 NY

Addresses

Primary practice location

4879 Palm Coast Pkwy NW
Unit 2
Palm Coast, FL 32137-3673

Mailing address

4879 Palm Coast Pkwy NW
Unit 2
Palm Coast, FL 32137-3673
Phone (386) 225-6134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210802001243 FL Practitioner - Chiropractic 0446514806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4875 Palm Coast Pkwy NW
Unit 2
Palm Coast, FL 32137-3671
Phone (386) 225-6134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13575FLMDChiropractor
012573NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sea Mental Health Practitioners LLC CurrentSince Nov 17, 2024 Accepting new patients
Shoreline Chiropractic LLC Chiropractor CurrentSince Jul 1, 2022 Accepting new patients
Kurilla Acupuncture PLLC PastSince Apr 30, 2018 Accepting new patients

Locations

4879 Palm Coast Pkwy NW
Unit 2
Palm Coast, FL 32137
Phone (386) 225-6134

4875 Palm Coast Pkwy NW
Unit 2
Palm Coast, FL 32137
Phone (386) 225-6134

381 Palm Coast Pkwy SW
Unit 2
Palm Coast, FL 32137
Phone (386) 232-8089

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1447618962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4879 PALM COAST PKWY NW",
            "address_2": "UNIT 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373673",
            "telephone_number": "386-225-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4879 PALM COAST PKWY NW",
            "address_2": "UNIT 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373673",
            "telephone_number": "386-225-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUERLEIN",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-29",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13575",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.