Individual provider Active NPI

Mary E Brechtel, D.C. DACBN

  • Chiropractor
  • Galveston, TX
National Provider Identifier
1639135213
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8061 Issued in TX
Practice address
6825 Stewart Rd
Galveston, TX 77551-1841
Phone
(409) 744-2225
NPI assigned
Apr 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8061 TX Primary
Nutrition Chiropractor 111NN1001X 8061 TX

Addresses

Primary practice location

6825 Stewart Rd
Galveston, TX 77551-1841

Mailing address

6825 Stewart Rd
Galveston, TX 77551-1841
Phone (409) 744-2225

Other identifiers 4

IdentifierTypeStateIssuer
8S7570OtherTXBLUECROSS BLUESHIELD
10619738OtherCAQH
2138188OtherTXAETNA-HMO
5596672OtherTXAETNA

Other names 1

  • Mary E Malott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000876 TX Practitioner - ChiropracticPractitioner - Other (Physician) 6406880467 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Galveston, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary E Brechtel DC PLLCGroup PAC ID 9032437389, 3 clinicians

Practice addresses (Care Compare)

3510 Indian Beach Dr
Galveston, TX 77551-1841

6825 Stewart Rd
Galveston, TX 77551-1841
Phone (409) 744-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8061TXMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Village Chiropractic and Wellness P.L.L.C. Chiropractor Past Accepting new patients
Kelsey-Seybold Medical Group, PLLC Chiropractor Past Accepting new patients
Back in Action Chiropractic Chiropractor Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 4

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1639135213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 STEWART RD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511841",
            "telephone_number": "409-744-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 STEWART RD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511841",
            "telephone_number": "409-744-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECHTEL",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "D.C. DACBN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8061",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "8061",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "8S7570",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10619738",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "2138188",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5596672",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MALOTT",
            "middle_name": "E",
            "credential": "D.C. DACBN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.