Individual provider Active NPI

Matthew Evan Brackney, D.C.

  • Chiropractor
  • Kingwood, TX
National Provider Identifier
1629469358
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12840 Issued in TX
Practice address
1801 Kingwood Dr
Suite 180
Kingwood, TX 77339-3060
Phone
(713) 629-9200
Fax
(713) 513-5048
NPI assigned
Feb 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12840 TX Primary

Addresses

Primary practice location

1801 Kingwood Dr
Suite 180
Kingwood, TX 77339-3060

Mailing address

4295 San Felipe St
Suite 230
Houston, TX 77027-2942
Phone (713) 629-9200

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Sports Therapy Kingwood, LP Chiropractor Past Accepting new patients
S & S Therapy LP Past Accepting new patients

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": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1629469358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 SAN FELIPE ST",
            "address_2": "SUITE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770272942",
            "telephone_number": "713-629-9200",
            "fax_number": "713-513-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 KINGWOOD DR",
            "address_2": "SUITE 180",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393060",
            "telephone_number": "713-629-9200",
            "fax_number": "713-513-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKNEY",
        "first_name": "MATTHEW",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.