Individual provider Active NPI

Patrick Joseph McBrearty, DC

  • Chiropractor
  • Canton, OH
National Provider Identifier
1649249020
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3710 Issued in OH
Practice address
807 30TH St NE
Canton, OH 44714-1404
Phone
(330) 491-0381
Fax
(330) 491-0388
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3710 OH Primary

Addresses

Primary practice location

807 30TH St NE
Canton, OH 44714-1404

Mailing address

807 30TH St NE
Canton, OH 44714-1404
Phone (330) 491-0381

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060622000342 OH Practitioner - Chiropractic 3779595343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2005
Medicare assignment
May accept Medicare assignment
Group practices
McBrearty Family and Sport Chiropractic,LLCGroup PAC ID 5496857773, 3 clinicians

Practice addresses (Care Compare)

807 30TH St NE
Canton, OH 44714-1404
Phone (330) 491-0381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3710OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McBrearty Family & Sport Chiropractic,LLC CurrentSince Jan 2, 2007 Accepting new patients
Frontier Chiropractic Chiropractor Past Accepting new patients
Frontier Chiropractic Chiropractor Past Accepting new patients

Locations

807 30th St NE
Canton, OH 44714
Phone (330) 491-0381

Organizations & group practices 3

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1649249020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 30TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447141404",
            "telephone_number": "330-491-0381",
            "fax_number": "330-491-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 30TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447141404",
            "telephone_number": "330-491-0381",
            "fax_number": "330-491-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBREARTY",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.