Individual provider Active NPI

Brett Allen Short, D.C.

  • Chiropractor
  • Barboursville, WV
National Provider Identifier
1538197702
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
545 Issued in WV
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0131767000MedicaidWV
287658OtherWVMAMSI
350047718OtherWVRAILROAD MEDICARE
000000223716OtherWVANTHEM BC/BS
000035643OtherWVMOUNTAIN STATE BC/BS
287658OtherWVOPTIMIUM CHOICE ID
9555595002OtherWVCIGNA
4401078OtherWVUNITED HEALTHCARE ID
1059296OtherWVWV WORKERS COMPENSATION
4342024OtherWVAETNA
92197OtherWVUNICARE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106001239 WV Practitioner - Chiropractic 0547352064 Reassigns benefits to 1 organization

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
Short Chiropractic IncGroup PAC ID 3274722202, 2 clinicians

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

LicenseStateTypeSpecialty
545WVMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Short Chiropractic Inc Chiropractor CurrentSince May 1, 1998 Accepting new patients
Appalachian Chiropractic Center Chiropractor PastSince May 1, 1998 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.

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.

Verify at the official NPI Registry.