Brett Russell McDonough, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4286-012 Issued in WI

Practice address

1444 NW 124TH CT
Clive, IA 50325-8150

Phone

(515) 278-2782

Fax

(515) 278-0194

NPI assigned

Feb 2, 2007

Last updated

Oct 23, 2018By 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

Northwestern College of Chiropractic, 2006

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Maximized Living, LLC

  • Chiropractor
  • Johnston, IA
  • NPI 1225293426
  Medicare reassignment NPD Authorized official
• Frach Chiropractic LLC

  • Chiropractor
  • Ham Lake, MN
  • NPI 1114265600
  NPD (past)
• Stucky Chiropractic Center SC

  • Chiropractor
  • Eau Claire, WI
  • NPI 1811986425
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1497893424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 NW 124TH CT",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258150",
            "telephone_number": "515-278-2782",
            "fax_number": "515-278-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 NW 124TH CT",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258150",
            "telephone_number": "515-278-2782",
            "fax_number": "515-278-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "BRETT",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007055",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4286-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Marissa McConnaha, PA-C
• Colton McConnell
• Logan Charles McCool
• Matt D McDermott, DPT
• Patricia M McDonald, PA-C
• Vanessa Joann McKelvey
• Caitlin Marie McKenney, AUD
• Julie McLaren, ARNP
• Cynthia McLaughlin
• Erin Marie McLaughlin, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.