Individual provider Active NPI

Brian Schuessler, D.C.

  • Chiropractor
  • Niceville, FL
National Provider Identifier
1487686234
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8262 Issued in FL
Practice address
4591 E Highway 20
Suite 201
Niceville, FL 32578-8844
Phone
(850) 279-4913
Fax
(850) 279-4975
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8262 FL Primary

Addresses

Primary practice location

4591 E Highway 20
Suite 201
Niceville, FL 32578-8844

Mailing address

4591 E Highway 20
Suite 201
Niceville, FL 32578-8844
Phone (850) 279-4913

Other identifiers 1

IdentifierTypeStateIssuer
381477700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000255 FL Practitioner - Chiropractic 7618062803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4591 E Hwy 20
Suite 201
Niceville, FL 32578-8845

4591 Hwy 20 E
Suite 201
Niceville, FL 32578-8845
Phone (850) 279-4913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Active Chiropractic Group Inc Chiropractor CurrentSince Nov 11, 2004 Accepting new patients

Locations

12469 Emerald Coast Pkwy W
Ste 102
Destin, FL 32550
Phone (850) 269-1700

4591 E Highway 20
Ste 201
Niceville, FL 32578
Phone (850) 269-1700

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1487686234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4591 E HIGHWAY 20",
            "address_2": "SUITE 201",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788844",
            "telephone_number": "850-279-4913",
            "fax_number": "850-279-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4591 E HIGHWAY 20",
            "address_2": "SUITE 201",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788844",
            "telephone_number": "850-279-4913",
            "fax_number": "850-279-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUESSLER",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381477700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.