Individual provider Active NPI

Brian Edward Leaf, D.C.

  • Chiropractor
  • Delaware, OH
National Provider Identifier
1679593628
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2936 Issued in OH
Practice address
1012 State Route 521
Suite 101
Delaware, OH 43015-1785
Phone
(740) 363-9705
Fax
(740) 368-9297
NPI assigned
Jul 20, 2006
Last updated
Apr 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2936 OH Primary

Addresses

Primary practice location

1012 State Route 521
Suite 101
Delaware, OH 43015-1785

Mailing address

3030 Wilson Rd
Sunbury, OH 43074-9533
Phone (614) 395-7265

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080923000125 OH Practitioner - Chiropractic 0042231201 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2936OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Leaf Chiropractic & Wellness Center, Inc. Chiropractor CurrentSince Sep 24, 2001 Accepting new patients
Sunbury Chiropractic Center Inc Chiropractor PastSince Jan 1, 2000 Accepting new patients

Locations

1012 State Route 521
Ste 101
Delaware, OH 43015
Phone (740) 363-9705

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1679593628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 WILSON RD",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749533",
            "telephone_number": "614-395-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 STATE ROUTE 521",
            "address_2": "SUITE 101",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151785",
            "telephone_number": "740-363-9705",
            "fax_number": "740-368-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAF",
        "first_name": "BRIAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.