Chad Erin Hackel, DC
Individual provider Active NPI Chiropractor · Broken Bow, NE
NPI 1679647804 · NPPES record last updated Mar 25, 2010
Key facts
- NPI
- 1679647804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1282 (NE)
- Practice address
- 606 South 9TH Ave
Broken Bow, NE 68822-2408 - Phone
- (308) 872-2171
- Fax
- (308) 872-6093
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
606 S 9TH Ave
Broken Bow, NE 68822-2408
Phone (308) 872-2171
Hospital & facility affiliations
- Jennie M Melham Memorial Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100521000522 | NE | Practitioner - Chiropractic | 3870622301 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1282 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Backbone of Healthcare PC | Chiropractor | Current |
Accepting new patients |
Locations
606 S 9th Ave
Broken Bow, NE 68822
Phone (308) 872-2171
Interoperability endpoints
- ceh1975@bohp0001.direct.chirotouch.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1282 | NE | Yes |
Addresses
Primary practice location
606 South 9TH Ave
Broken Bow, NE 68822-2408
Mailing address
606 South 9TH Ave
Broken Bow, NE 68822-2408
Phone (308) 872-2171
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33103551700 | Medicaid | NE | |
| 99599 | Other | NE | BCBS |
| 239266 | Other | MIDLANDS CHOICE |
Other providers in Broken Bow, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.