Organization Active NPI

Performance Chiropractic, P.C.

  • Chiropractor
  • Rainbow City, AL
National Provider Identifier
1679637227
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1422 Issued in AL
Legal business name
PERFORMANCE CHIROPRACTIC, P.C.
Practice address
103 Rescia Ave
Rainbow City, AL 35906-5930
Phone
(256) 442-2448
Fax
(256) 442-2498
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Dr. Bradley A Frost, D.C.NPI 1194807644
Title
Owner
Phone
(256) 442-2448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1422 AL Primary

Addresses

Primary practice location

103 Rescia Ave
Rainbow City, AL 35906-5930

Mailing address

103 Rescia Ave
Rainbow City, AL 35906-5930
Phone (256) 442-2448

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050524000700 AL Part B Supplier - Clinic/Group Practice 8729020300 Receives reassigned benefits from 3 practitioners
Practice locations: Rainbow City, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2252288Performance Chiropractic, PC103 Rescia Ave, Rainbow City, AL 35906Certificate of waiverFeb 9, 2028

National Provider Directory

National Provider Directory

Locations

103 Rescia Ave
Rainbow City, AL 35906
Phone (256) 442-2448

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1679637227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 RESCIA AVE",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065930",
            "telephone_number": "256-442-2448",
            "fax_number": "256-442-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RESCIA AVE",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065930",
            "telephone_number": "256-442-2448",
            "fax_number": "256-442-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-442-2448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainbow City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.