Individual provider Active NPI

Brett Alan Zubeck, D.C.

  • Chiropractor
  • Prudenville, MI
National Provider Identifier
1659519403
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009766 Issued in MI
Practice address
1090 W Houghton Lake Dr
Prudenville, MI 48651-9613
Phone
(989) 366-3636
NPI assigned
Feb 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009766 MI Primary

Addresses

Primary practice location

1090 W Houghton Lake Dr
Prudenville, MI 48651-9613

Mailing address

PO Box 28
Prudenville, MI 48651-0028
Phone (989) 366-3636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140402002340 MI Practitioner - Chiropractic 3678622214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Chiropractic and Wellness Center Inc.Group PAC ID 5890926943, 2 clinicians

Practice addresses (Care Compare)

1090 W Houghton Lake Dr
Prudenville, MI 48651-9613
Phone (989) 366-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009766MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Chiropractic and Wellness Center Inc. Chiropractor CurrentSince Apr 1, 2014 Accepting new patients
South Georgia Chiropractic Chiropractor Past Accepting new patients
Tri-County Clinic of Chiropractic, LLC Pediatric Chiropractor PastSince Mar 9, 2009 Accepting new patients

Locations

320 N Huron St
Cheboygan, MI 49721
Phone (231) 597-9393

1090 W Houghton Lake Dr
Prudenville, MI 48651
Phone (989) 366-3636

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": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1659519403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "486510028",
            "telephone_number": "989-366-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 W HOUGHTON LAKE DR",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "486519613",
            "telephone_number": "989-366-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBECK",
        "first_name": "BRETT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-02",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prudenville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.