Individual provider Active NPI

Brett Andrew Myers, DC

  • Chiropractor
  • Portage, MI
National Provider Identifier
1558360867
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008592 Issued in MI
Practice address
2225 E Centre Ave
Portage, MI 49002-4421
Phone
(269) 381-2200
Fax
(269) 381-4233
NPI assigned
Jul 19, 2005
Reactivated
Mar 27, 2006
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008592 MI Primary

Addresses

Primary practice location

2225 E Centre Ave
Portage, MI 49002-4421

Mailing address

2225 E Centre Ave
Portage, MI 49002-4421
Phone (269) 381-2200

Other identifiers 4

IdentifierTypeStateIssuer
144724125MedicaidMI
950A310950OtherMIBLUE CROSS BLUE SHIELD
230002000OtherMIUS DEPT OF LABOR
4430218OtherMIIBA/PHP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319001459 MI Practitioner - Chiropractic 6507756699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2225 E Centre Ave
Portage, MI 49002-4421
Phone (269) 381-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008592MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elements Chiropractic Clinic, PLC Chiropractor CurrentSince Sep 1, 2018 Accepting new patients
Prebish Chiropractic PLC Chiropractor PastSince Jan 1, 2004 Accepting new patients
Yockey Chiropractic Inc Chiropractor PastSince Dec 24, 2018 Accepting new patients

Locations

1125 E Milham Ave
Ste B
Portage, MI 49002
Phone (269) 312-1446

2225 E Centre Ave
Portage, MI 49002
Phone (269) 324-0100

Organizations & group practices 3

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1558360867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 E CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024421",
            "telephone_number": "269-381-2200",
            "fax_number": "269-381-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024421",
            "telephone_number": "269-381-2200",
            "fax_number": "269-381-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "BRETT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144724125",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950A310950",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "230002000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBA/PHP",
            "identifier": "4430218",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.