Individual provider Active NPI

Brian Nimphius, DC

  • Chiropractor
  • Colleyville, TX
National Provider Identifier
1477735041
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9184 Issued in TX
Practice address
5207 Heritage Ave
Colleyville, TX 76034-5915
Phone
(817) 355-8000
NPI assigned
Dec 5, 2007
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9184 TX Primary

Addresses

Primary practice location

5207 Heritage Ave
Colleyville, TX 76034-5915

Mailing address

5207 Heritage Ave
Colleyville, TX 76034-5915
Phone (817) 355-8000

Other practice location 1

200 E Southlake Blvd
Ste 20
Southlake, TX 76092-6239
Phone (817) 251-6767

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150605001377 TX Practitioner - Chiropractic 9739177056 Reassigns benefits to 1 organization
Practice locations: Southlake, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elis Medical CorporationGroup PAC ID 9133160088, 8 clinicians

Practice addresses (Care Compare)

5207 Heritage Ave
Colleyville, TX 76034-5915
Phone (817) 355-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elis Medical Corporation CurrentSince Jun 1, 2021 Accepting new patients
Victory Chiropractic and Physical Therapy Chiropractor PastSince Mar 2, 2009 Accepting new patients

Locations

5207 Heritage Ave
Colleyville, TX 76034
Phone (817) 355-8000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGAJDD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1477735041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 HERITAGE AVE",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345915",
            "telephone_number": "817-355-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 HERITAGE AVE",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345915",
            "telephone_number": "817-355-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E SOUTHLAKE BLVD",
            "address_2": "STE 20",
            "address_purpose": "LOCATION",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926239",
            "country_code": "US",
            "telephone_number": "817-251-6767",
            "fax_number": "817-251-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIMPHIUS",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.