Individual provider Active NPI

Breaden Nowlin, DC

  • Chiropractor
  • McMinnville, OR
National Provider Identifier
1619823556
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6498 Issued in OR
Practice address
315 NE Kirby St
McMinnville, OR 97128-4320
Phone
(503) 472-2523
Fax
(503) 883-0330
NPI assigned
Mar 4, 2026
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 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 6498 OR Primary

Addresses

Primary practice location

315 NE Kirby St
McMinnville, OR 97128-4320

Mailing address

315 NE Kirby St
McMinnville, OR 97128-4320
Phone (503) 472-2523

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260410003830 OR Practitioner - Chiropractic 4880169473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Miller Chiropractic Health Clinic IncGroup PAC ID 1153567458, 3 clinicians

Practice addresses (Care Compare)

315 NE Kirby St
McMinnville, OR 97128-4320
Phone (503) 472-2523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6498ORMDMassage Therapist

Organizations & group practices 1

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": "1772582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1619823556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NE KIRBY ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284320",
            "telephone_number": "503-472-2523",
            "fax_number": "503-883-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NE KIRBY ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284320",
            "telephone_number": "503-472-2523",
            "fax_number": "503-883-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWLIN",
        "first_name": "BREADEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.