Active NPI
Brian Gerald Supplee, D.C.
- Chiropractor
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1465
- Practice address
- 1156 Dublin Rd
Ste 102
Columbus, OH 43215-1095 - Phone
- (267) 328-5918
- Fax
- (215) 933-5290
- NPI assigned
- Jul 18, 2005
- Last updated
- Oct 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1465 | OH | Primary |
Addresses
Primary practice location
1156 Dublin Rd
Ste 102
Columbus, OH 43215-1095
Mailing address
1156 Dublin Rd
Ste 102
Columbus, OH 43215-1095
Phone (267) 328-5918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0339100 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1620 E Broad St
Suite 102a
Columbus, OH 43203-2012
Phone (614) 306-5696
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1465 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Medical Plus LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
38 E Columbus St
Pickerington, OH 43147
Phone (614) 834-7030
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Columbus, OH
- NPI 1871930610
-
- General Practice Physician
- Pickerington, OH
- NPI 1316466899
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507161600000",
"number": "1679572234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1156 DUBLIN RD",
"address_2": "STE 102",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151095",
"telephone_number": "267-328-5918",
"fax_number": "267-328-5918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1156 DUBLIN RD",
"address_2": "STE 102",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151095",
"telephone_number": "267-328-5918",
"fax_number": "215-933-5290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUPPLEE",
"first_name": "BRIAN",
"middle_name": "GERALD",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2017-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0339100",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.