Individual provider Active NPI

Justin S. Braegger, D.C.

  • Chiropractor
  • Denver, CO
National Provider Identifier
1538462452
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR0006664 Issued in CO
Practice address
2532 Sheridan Blvd
Denver, CO 80214
Phone
(303) 458-0294
Fax
(303) 477-0201
NPI assigned
Dec 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60151330 WA
Chiropractor 111N00000X CHR0006664 CO Primary

Addresses

Primary practice location

2532 Sheridan Blvd
Denver, CO 80214

Mailing address

23943 Broadmoor PL
Parker, CO 80138-3158
Phone (303) 840-5090

Other practice location 1

7200 W 44th Ave
Wheat Ridge, CO 80033-4722
Phone (303) 423-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR0006664COMDChiropractor
CH60151330WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Family Chiropractic Past Accepting new patients

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": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1538462452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23943 BROADMOOR PL",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383158",
            "telephone_number": "303-840-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 SHERIDAN BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80214",
            "telephone_number": "303-458-0294",
            "fax_number": "303-477-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 W 44th Ave",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800334722",
            "country_code": "US",
            "telephone_number": "303-423-1925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAEGGER",
        "first_name": "JUSTIN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-15",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60151330",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR0006664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.