Organization Active NPI

Brummert Family Chiropractic, LLC

  • Chiropractor
  • State College, PA
National Provider Identifier
1548625676
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010774 Issued in PA
Legal business name
BRUMMERT FAMILY CHIROPRACTIC, LLC
Practice address
3051 Enterprise Dr
State College, PA 16801-2756
Phone
(814) 777-1558
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Dr. Craig Daniel Brummert, D.C.
Title
Owner
Phone
(814) 777-1558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC010774 PA Primary

Addresses

Primary practice location

3051 Enterprise Dr
State College, PA 16801-2756

Mailing address

3051 Enterprise Dr
State College, PA 16801-2756
Phone (814) 777-1558

National Provider Directory

National Provider Directory

Locations

3051 Enterprise Dr
State College, PA 16801
Phone (814) 777-1558

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1548625676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 ENTERPRISE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012756",
            "telephone_number": "814-777-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 ENTERPRISE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012756",
            "telephone_number": "814-777-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUMMERT FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "BRUMMERT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-777-1558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.