Brian Louis Regan, DC, MS, ATC, CSCS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

093105 Issued in IA

Practice address

2458 Cherry St
Dubuque, IA 52001-5749

Phone

(563) 599-1280

NPI assigned

Oct 24, 2018

Last updated

Jan 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine and Sport Chiropractic Center, P.C.Group PAC ID 2062699796, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Spine & Sport Chiropractic Center, P.C.

  • Chiropractor
  • Dubuque, IA
  • NPI 1174814693
  Medicare reassignment Care Compare group
• Teresa White Counseling

  • Clinical Social Worker
  • Dubuque, IA
  • NPI 1356222848
  NPD (past)

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1497221824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 ASBURY RD",
            "address_2": "STE 102",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520020480",
            "telephone_number": "563-845-0033",
            "fax_number": "563-845-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 CHERRY ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015749",
            "telephone_number": "563-599-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "BRIAN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DC, MS, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "093105",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "001022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Jane Recker
• Mosali Sanjeeva Reddy, M.D.
• Ramana C Reddy, M.D.
• Anna Crumpler Reed
• Dalaney Reese
• Shannon Regan
• Lael Regester
• Regional Transit Authority
• Joel Reicks, LMHC
• Albert John Reiff, OTR

• Chiropractor in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.