Individual provider Active NPI

Nicole Henry, DC

  • Chiropractor
  • Brooklyn, MI
National Provider Identifier
1487437190
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401432 Issued in MI
Practice address
225 S Main St Ste B
Brooklyn, MI 49230-9158
Phone
(517) 938-8358
NPI assigned
Aug 16, 2023
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 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 2301401432 MI Primary

Addresses

Primary practice location

225 S Main St Ste B
Brooklyn, MI 49230-9158

Mailing address

225 S Main St Ste B
Brooklyn, MI 49230-9158
Phone (517) 938-8358

Other practice location 1

6130 W Saginaw Hwy
Lansing, MI 48917-2465
Phone (517) 878-7774

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929003003 MI Practitioner - Chiropractic 8022462670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brzezinski Chiropractic PLLCGroup PAC ID 2961646377, 2 clinicians

Practice addresses (Care Compare)

225 S Main St
Brooklyn, MI 49230-9158
Phone (517) 938-8358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
3 Dimensional Physical Therapy, LLC CurrentSince May 31, 2024 Accepting new patients
Brzezinski Chiropractic, PLLC Chiropractor CurrentSince May 31, 2024 Accepting new patients

Locations

225 S Main St
Brooklyn, MI 49230
Phone (517) 938-5980

225 S Main St
Ste B
Brooklyn, MI 49230
Phone (517) 938-8358

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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1487437190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S MAIN ST STE B",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492309158",
            "telephone_number": "517-938-8358",
            "fax_number": "517-938-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S MAIN ST STE B",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492309158",
            "telephone_number": "517-938-8358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6130 W Saginaw Hwy",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489172465",
            "country_code": "US",
            "telephone_number": "517-878-7774",
            "fax_number": "517-321-7015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "NICOLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.