Keith Scott Brickell, DC DACBSP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0005087 Issued in FL

Practice address

5975 N Federal Hwy 121
Fort Lauderdale, FL 33308

Phone

(954) 771-3800

Fax

(954) 351-0867

NPI assigned

Mar 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• C2C Chiropractic LLC

  • Chiropractor
  • Fort Lauderdale, FL
  • NPI 1497551519
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1720055593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 N FEDERAL HWY 121",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "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 121",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-771-3800",
            "fax_number": "954-351-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKELL",
        "first_name": "KEITH",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC DACBSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050485800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Bresnihan
• Dilcia Del Carmen Breton, FNP
• Lorraine Alison Brewster
• Brian a. Asalone, O.D., P.a.
• Brickell Chiropractic Center Inc.
• Esra Nihan Bridge
• Brighter Days Nursing Agency, LLC
• Brighthaven Homecare, LLC.
• Ashley Brightman
• Brightside Homecare

• Chiropractor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Chiropractor in Florida

• 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.
• 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.