Active NPI
Brian Christian Connell, D.C.
- Chiropractor
- Pittsfield, MA
National Provider Identifier
1609172154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2012003662
- Practice address
- 59 Sherwood Dr
Pittsfield, MA 01201-5911 - Phone
- (540) 903-1483
- NPI assigned
- Feb 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2012003662 | MO | Primary |
Addresses
Primary practice location
59 Sherwood Dr
Pittsfield, MA 01201-5911
Mailing address
59 Sherwood Dr
Pittsfield, MA 01201-5911
Phone (540) 903-1483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012003662 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481846400000",
"number": "1609172154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 SHERWOOD DR",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012015911",
"telephone_number": "540-903-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 SHERWOOD DR",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012015911",
"telephone_number": "540-903-1483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELL",
"first_name": "BRIAN",
"middle_name": "CHRISTIAN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-01",
"last_updated": "2016-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2012003662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.