Individual provider Active NPI

Brody William Reinholt, DC

  • Chiropractor
  • Warsaw, IN
National Provider Identifier
1699248146
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003072A Issued in IN
Practice address
308 S Scott St
Warsaw, IN 46580-4501
Phone
(574) 269-4900
NPI assigned
Jan 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003072A IN Primary

Addresses

Primary practice location

308 S Scott St
Warsaw, IN 46580-4501

Mailing address

308 S Scott St
Warsaw, IN 46580-4501
Phone (574) 269-4900

Other practice location 1

113 N Walnut St
North Manchester, IN 46962-1845
Phone (206) 306-0079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08003072AINMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1699248146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S SCOTT ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465804501",
            "telephone_number": "574-269-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S SCOTT ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465804501",
            "telephone_number": "574-269-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 N Walnut St",
            "address_purpose": "LOCATION",
            "city": "North Manchester",
            "state": "IN",
            "postal_code": "469621845",
            "country_code": "US",
            "telephone_number": "206-306-0079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINHOLT",
        "first_name": "BRODY",
        "middle_name": "WILLIAM",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003072A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.