Individual provider Active NPI

Bradley Brzezinski, DC

  • Chiropractor
  • Brooklyn, MI
National Provider Identifier
1679704258
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009534 Issued in MI
Practice address
332 N Main St
Brooklyn, MI 49230-8609
Phone
(517) 938-8358
Fax
(517) 938-8589
NPI assigned
Jul 31, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009534 MI Primary

Addresses

Primary practice location

332 N Main St
Brooklyn, MI 49230-8609

Mailing address

332 N. Main St.
Brooklyn, MI 49230-9503
Phone (517) 938-8358

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090916000263 MI Practitioner - Chiropractic 2860548856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brzezinski Chiropractic PLLCGroup PAC ID 2961646377, 2 clinicians

Practice addresses (Care Compare)

225 S Main St
Brooklyn, MI 49230-9158
Phone (517) 938-8358

332 N Main St
Brooklyn, MI 49230-8609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brzezinski Chiropractic, PLLC Chiropractor CurrentSince Jun 9, 2013 Accepting new patients
Sean T Edison PC Chiropractor PastSince Jun 1, 2000 Accepting new patients
Plentz Chiropractic Clinic Inc Chiropractor PastSince Jan 1, 2003 Accepting new patients
3 Dimensional Physical Therapy, LLC PastSince Feb 20, 2019 Accepting new patients

Locations

225 S Main St
Ste B
Brooklyn, MI 49230
Phone (517) 938-8358

225 S Main St
Brooklyn, MI 49230
Phone (517) 938-5980

332 N Main St
Brooklyn, MI 49230
Phone (517) 592-6663

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1679704258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 N. MAIN ST.",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492309503",
            "telephone_number": "517-938-8358",
            "fax_number": "517-938-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 N MAIN ST",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492308609",
            "telephone_number": "517-938-8358",
            "fax_number": "517-938-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZEZINSKI",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-31",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.