Organization Active NPI

Brickell Chiropractic Center Inc.

  • Sports Physician Chiropractor
  • Ft Lauderdale, FL
National Provider Identifier
1679873939
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
5087 Issued in FL
Legal business name
BRICKELL CHIROPRACTIC CENTER INC.
Practice address
5975 N Federal Hwy
121
Ft Lauderdale, FL 33308-2690
Phone
(954) 771-3800
Fax
(954) 351-0867
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Dr. Keith Scott Brickell, D.C.,DACBSP
Title
President
Phone
(954) 771-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 5087 FL Primary

Addresses

Primary practice location

5975 N Federal Hwy
121
Ft Lauderdale, FL 33308-2690

Mailing address

5975 Noth Federal Hwy
121
Ft Lauderdale, FL 33308-2661
Phone (954) 771-3800

Other identifiers 1

IdentifierTypeStateIssuer
0050485800MedicaidFL

National Provider Directory

National Provider Directory

Locations

5975 N Federal Hwy
Ste 121
Ft Lauderdale, FL 33308
Phone (954) 771-3800

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1679873939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 NOTH FEDERAL HWY",
            "address_2": "121",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082661",
            "telephone_number": "954-771-3800",
            "fax_number": "954-351-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 N FEDERAL HWY",
            "address_2": "121",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082690",
            "telephone_number": "954-771-3800",
            "fax_number": "954-351-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICKELL CHIROPRACTIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "BRICKELL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-771-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.,DACBSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "5087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050485800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.