Organization Active NPI

Integrative Health and Wellness LLC

Doing business as Integrative Chiropractic and Wellness

  • Chiropractor
  • Leesburg, VA
National Provider Identifier
1578309100
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INTEGRATIVE HEALTH AND WELLNESS LLC
Doing business as
Integrative Chiropractic and Wellness
Practice address
552 Fort Evans Rd Ste 309
Leesburg, VA 20176-3378
Phone
(703) 771-3204
Fax
(703) 771-3273
NPI assigned
Jul 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Keith Brassfield, DCNPI 1467807867
Title
Chiropractor
Phone
(703) 771-3204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

552 Fort Evans Rd Ste 309
Leesburg, VA 20176-3378

Mailing address

552 Fort Evans Rd Ste 309
Leesburg, VA 20176-3378
Phone (703) 771-3204

Other names 1

  • Integrative Chiropractic and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251024001306 VA Part B Supplier - Clinic/Group Practice 3870081458 Receives reassigned benefits from 4 practitioners
Practice locations: Leesburg, VA

National Provider Directory

National Provider Directory

Locations

552 Fort Evans Rd
Ste 309
Leesburg, VA 20176
Phone (703) 771-3204

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1578309100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 FORT EVANS RD STE 309",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763378",
            "telephone_number": "703-771-3204",
            "fax_number": "703-771-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 FORT EVANS RD STE 309",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763378",
            "telephone_number": "703-771-3204",
            "fax_number": "703-771-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "BRASSFIELD",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "703-771-3204",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.