NPIMap

Organization Active NPI

Boca Back and Neck Center Inc

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1508042532
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6610 Issued in FL
Legal business name
BOCA BACK AND NECK CENTER INC
Practice address
499 NE Spanish River Blvd
Boca Raton, FL 33431
Phone
(561) 338-5111
Fax
(561) 338-0580
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Authorized official

Name
Dr. Alan Brustein, DCNPI 1437190055
Title
Pres
Phone
(561) 338-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH6610 FL Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH6010 FL

Addresses

Primary practice location

499 NE Spanish River Blvd
Boca Raton, FL 33431

Mailing address

499 NE Spanish River Blvd
Boca Raton, FL 33431
Phone (561) 338-5111

Other names 1

  • Pain Relief & Wellness Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041111001035 FL Part B Supplier - Clinic/Group Practice 0244294049 Receives reassigned benefits from 2 practitioners
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

499 NE Spanish River Blvd
Boca Raton, FL 33431
Phone (561) 338-5111

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1508042532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 NE SPANISH RIVER BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-338-5111",
            "fax_number": "561-338-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 NE SPANISH RIVER BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-338-5111",
            "fax_number": "561-338-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA BACK AND NECK CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "BRUSTEIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "561-338-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6610",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Relief & Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.