Individual provider Active NPI

Brian J Augustine, DC, DACNB

  • Neurology Chiropractor
  • Wesley Chapel, FL
National Provider Identifier
1508935099
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH0006174 Issued in FL
Practice address
5317 Village Market
Wesley Chapel, FL 33543-4251
Phone
(813) 994-6008
Fax
(813) 994-3063
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X CH0006174 FL Primary

Addresses

Primary practice location

5317 Village Market
Wesley Chapel, FL 33543-4251

Mailing address

5317 Village Market
Wesley Chapel, FL 33543-4251
Phone (813) 994-6008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000864 FL Practitioner - Chiropractic 6103885595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overlea-Fullerton Chiropractic Center PCGroup PAC ID 9032178421, 4 clinicians

Practice addresses (Care Compare)

5317 Village Market
Wesley Chapel, FL 33544-8451
Phone (813) 994-6008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0006174FLMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Overlea-Fullerton Chiropractic Center PC CurrentSince Aug 30, 2004 Accepting new patients

Locations

5317 Village Market
Wesley Chapel, FL 33544
Phone (813) 994-6008

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508935099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 VILLAGE MARKET",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335434251",
            "telephone_number": "813-994-6008",
            "fax_number": "813-994-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 VILLAGE MARKET",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335434251",
            "telephone_number": "813-994-6008",
            "fax_number": "813-994-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTINE",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DC, DACNB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH0006174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.