Active NPI
Brett Allen Short, D.C.
- Chiropractor
- Barboursville, WV
National Provider Identifier
1538197702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 545
- Practice address
- 99 Cracker Barrel Dr
Barboursville, WV 25504-1622 - Phone
- (304) 733-4616
- Fax
- (304) 733-4818
- NPI assigned
- Jun 28, 2006
- Last updated
- Dec 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 545 | WV | Primary |
Addresses
Primary practice location
99 Cracker Barrel Dr
Barboursville, WV 25504-1622
Mailing address
99 Cracker Barrel Dr
Barboursville, WV 25504-1622
Phone (304) 733-4616
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131767000 | Medicaid | WV | |
| 287658 | Other | WV | MAMSI |
| 350047718 | Other | WV | RAILROAD MEDICARE |
| 000000223716 | Other | WV | ANTHEM BC/BS |
| 000035643 | Other | WV | MOUNTAIN STATE BC/BS |
| 287658 | Other | WV | OPTIMIUM CHOICE ID |
| 9555595002 | Other | WV | CIGNA |
| 4401078 | Other | WV | UNITED HEALTHCARE ID |
| 1059296 | Other | WV | WV WORKERS COMPENSATION |
| 4342024 | Other | WV | AETNA |
| 92197 | Other | WV | UNICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
99 Cracker Barrel Dr
Suite 200
Barboursville, WV 25504-1650
Phone (304) 733-4616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 545 | WV | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Short Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| Appalachian Chiropractic Center | Chiropractor | Past | Accepting new patients |
Locations
99 Cracker Barrel Dr
Ste 200
Barboursville, WV 25504
Phone (304) 733-4616
Organizations & group practices 2
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.
-
- Chiropractor
- Barboursville, WV
- NPI 1952487563
-
- Chiropractor
- Barboursville, WV
- NPI 1770592156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1538197702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 CRACKER BARREL DR",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255041622",
"telephone_number": "304-733-4616",
"fax_number": "304-733-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 CRACKER BARREL DR",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255041622",
"telephone_number": "304-733-4616",
"fax_number": "304-733-4818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "BRETT",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0131767000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "287658",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350047718",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000223716",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BC/BS",
"identifier": "000035643",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMIUM CHOICE ID",
"identifier": "287658",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9555595002",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE ID",
"identifier": "4401078",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV WORKERS COMPENSATION",
"identifier": "1059296",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4342024",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE ID",
"identifier": "92197",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barboursville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.