Individual provider Active NPI

Brian S Fritz, DC

  • Chiropractor
  • Marshalltown, IA
National Provider Identifier
1477525814
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05985 Issued in IA
Practice address
2501 S Center St
Ste E
Marshalltown, IA 50158-4545
Phone
(641) 752-3112
Fax
(641) 752-8822
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05985 IA Primary

Addresses

Primary practice location

2501 S Center St
Ste E
Marshalltown, IA 50158-4545

Mailing address

2501 S Center St
Ste E
Marshalltown, IA 50158-4545
Phone (641) 752-3112

Other identifiers 4

IdentifierTypeStateIssuer
1149930MedicaidIA
350050080ROtherIARR MEDICARE
622952OtherIAUNITED HEALTH
45800OtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111020000022 IA Practitioner - Chiropractic 8224010681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fritz Chiropractic DC PCGroup PAC ID 6800878257, 2 clinicians

Practice addresses (Care Compare)

2501 S Ctr St
Suite E
Marshalltown, IA 50158-4545
Phone (641) 752-3112

2501 S Ctr St E
Marshalltown, IA 50158-4562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A05985IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fritz Chiropractic DC PC Chiropractor CurrentSince Jan 1, 2003 Accepting new patients

Locations

2501 S Center St
Ste E
Marshalltown, IA 50158
Phone (641) 752-3112

Organizations & group practices 1

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1477525814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 S CENTER ST",
            "address_2": "STE E",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584545",
            "telephone_number": "641-752-3112",
            "fax_number": "641-752-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S CENTER ST",
            "address_2": "STE E",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584545",
            "telephone_number": "641-752-3112",
            "fax_number": "641-752-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "BRIAN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1149930",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350050080R",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "622952",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "45800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.