Individual provider Active NPI

Brian D Sims, D.C.

  • Chiropractor
  • Cadillac, MI
National Provider Identifier
1558398669
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009120 Issued in MI
Practice address
1190 Plett Rd Ste C
Cadillac, MI 49601-1296
Phone
(231) 779-4772
Fax
(231) 779-4776
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009120 MI Primary

Addresses

Primary practice location

1190 Plett Rd Ste C
Cadillac, MI 49601-1296

Mailing address

1190 Plett Rd Ste C
Cadillac, MI 49601-1296
Phone (231) 779-4772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060216000203 MI Practitioner - Chiropractic 8325053077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1190 Plett Rd
Suite B
Cadillac, MI 49601-1296
Phone (231) 779-4772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sims Chiropractic Wellness Center PC Chiropractor CurrentSince Dec 3, 2007 Accepting new patients
Gentner Wellness Clinic PC Chiropractor Past Accepting new patients
Brian Bilyea PC Chiropractor Past Accepting new patients

Locations

1190 Plett Rd
Ste B
Cadillac, MI 49601
Phone (231) 779-4772

1190 Plett Rd
Ste C
Cadillac, MI 49601
Phone (231) 779-4772

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1558398669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 PLETT RD STE C",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011296",
            "telephone_number": "231-779-4772",
            "fax_number": "231-779-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 PLETT RD STE C",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011296",
            "telephone_number": "231-779-4772",
            "fax_number": "231-779-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.