Individual provider Active NPI

Louis Briegel II, D.C.

  • Chiropractor
  • Canton, GA
National Provider Identifier
1609090240
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR001652 Issued in GA
Practice address
7990 Knox Bridge Hwy
Canton, GA 30114-8520
Phone
(770) 479-5592
Fax
(770) 479-5594
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR001652 GA Primary

Addresses

Primary practice location

7990 Knox Bridge Hwy
Canton, GA 30114-8520

Mailing address

7990 Knox Bridge Hwy
Canton, GA 30114-8520
Phone (770) 479-5592

Other identifiers 1

IdentifierTypeStateIssuer
GRP6356OtherGAGROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511000225 GA Practitioner - Chiropractic 0345239851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5979 Cumming Hwy
Canton, GA 30115-2280
Phone (770) 479-5592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Chiropractic Center Chiropractor CurrentSince Jan 2, 2008 Accepting new patients
Chiropractic Services Trust Chiropractor PastSince Jan 1, 2004 Accepting new patients

Locations

5979 Cumming Hwy
Canton, GA 30115
Phone (770) 478-5592

7990 Knox Bridge Hwy
Canton, GA 30114
Phone (770) 479-5592

Organizations & group practices 2

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609090240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7990 KNOX BRIDGE HWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148520",
            "telephone_number": "770-479-5592",
            "fax_number": "770-479-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7990 KNOX BRIDGE HWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148520",
            "telephone_number": "770-479-5592",
            "fax_number": "770-479-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIEGEL",
        "first_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR001652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "GRP6356",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.