Organization Active NPI

Kulow Chiropractic & Wellness Center PLLC

  • Chiropractor
  • Brenham, TX
National Provider Identifier
1720385636
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KULOW CHIROPRACTIC & WELLNESS CENTER PLLC
Doing business as
Kellie Kulow, D.C.
Practice address
218 E Main St
Brenham, TX 77833-3780
Phone
(979) 830-7055
Fax
(979) 353-5544
NPI assigned
Feb 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Authorized official

Name
Dr. Kellie L Kulow, DCNPI 1043229032
Title
Owner
Phone
(979) 830-7055

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary
Clinic/Center 261Q00000X 9361 TX

Addresses

Primary practice location

218 E Main St
Brenham, TX 77833-3780

Mailing address

PO Box 321
Brenham, TX 77834-0321
Phone (979) 830-7055

Other practice location 1

851 E Travis St
LA Grange, TX 78945-2361
Phone (979) 968-6400

Other identifiers 1

IdentifierTypeStateIssuer
1043229032OtherTXNPI

Other names 1

  • Kellie Kulow, D.C. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190528002420 TX Part B Supplier - Clinic/Group Practice 3173866530 Receives reassigned benefits from 1 practitioner
Practice locations: Brenham, TX; La Grange, TX

National Provider Directory

National Provider Directory

Locations

218 E Main St
Brenham, TX 77833
Phone (979) 830-7055

2305 Becker Dr
Ste F
Brenham, TX 77833

3855 Highway 36 N
Ste 103
Brenham, TX 77833
Phone (979) 830-7055

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": "1297468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1720385636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778340321",
            "telephone_number": "979-830-7055",
            "fax_number": "979-353-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E MAIN ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778333780",
            "telephone_number": "979-830-7055",
            "fax_number": "979-353-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 E Travis St",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "TX",
            "postal_code": "789452361",
            "country_code": "US",
            "telephone_number": "979-968-6400",
            "fax_number": "979-968-6407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KULOW CHIROPRACTIC & WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-12",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "KULOW",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-830-7055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "9361",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043229032",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kellie Kulow, D.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.