Brent McConnell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-007677 Issued in PA

Practice address

177 Main St
Greenville, PA 16125-2145

Phone

(724) 588-8880

Fax

(724) 588-1515

NPI assigned

Jul 24, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1999

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• McConnell Specific Chiropractic Inc

  • Chiropractor
  • Greenville, PA
  • NPI 1558970707
  Medicare reassignment NPD Authorized official
• MJM Healthcare PC

  • Chiropractor
  • Monroeville, PA
  • NPI 1669569992
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1487676680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 MAIN STREET",
            "address_2": "PO BOX 638",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161250638",
            "telephone_number": "724-588-8880",
            "fax_number": "724-588-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161252145",
            "telephone_number": "724-588-8880",
            "fax_number": "724-588-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-007677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK ID",
            "identifier": "000786524",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "251869764",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane E Marrie, CRNA
• Jeremy James Mashburn, D.O.
• Maybrook-C Whitecliff Opco LLC
• McConnell Specific Chiropractic
• McConnell Specific Chiropractic Inc
• Lynne McCrillis, DO
• David L McFadden, M.D.
• Daniel Robert Merritt, LPC
• Lorie Mettee
• Michael J Jurenovich Dopc

• Chiropractor in Greenville, PA
• Providers in Greenville, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.