Organization Active NPI

Morris Chiropractic Center, P.a.

  • Chiropractor
  • Brandon, FL
National Provider Identifier
1700887163
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0005361 Issued in FL
Legal business name
MORRIS CHIROPRACTIC CENTER, P.A.
Practice address
207 Kingsway Rd
Brandon, FL 33510-4603
Phone
(813) 684-8540
Fax
(813) 651-1565
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Brian Kent Morris, DCNPI 1356524532
Title
Chiropractor
Phone
(813) 684-8540

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 CH0005361 FL Primary

Addresses

Primary practice location

207 Kingsway Rd
Brandon, FL 33510-4603

Mailing address

207 Kingsway Rd
Brandon, FL 33510-4603
Phone (813) 684-8540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101011000171 FL Part B Supplier - Clinic/Group Practice 5193917045 Receives reassigned benefits from 1 practitioner
Practice locations: Brandon, FL

National Provider Directory

National Provider Directory

Locations

207 Kingsway Rd
Brandon, FL 33510
Phone (813) 684-8540

Practitioners & affiliated clinicians

Practitioners 1

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": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1700887163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 KINGSWAY RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104603",
            "telephone_number": "813-684-8540",
            "fax_number": "813-651-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 KINGSWAY RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104603",
            "telephone_number": "813-684-8540",
            "fax_number": "813-651-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "813-684-8540",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.