Active NPI
Brent Olson Warner, CH.
- Chiropractor
- Richlands, VA
National Provider Identifier
1730158429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556270
- Practice address
- 305 Allegheny Street
Richlands, VA 24641 - Phone
- (276) 963-0395
- Fax
- (276) 964-2225
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556270 | VA | Primary |
Addresses
Primary practice location
305 Allegheny Street
Richlands, VA 24641
Mailing address
PO Box 1045
Richlands, VA 24641
Phone (276) 963-0395
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7880576 | Other | VA | AETNA |
| 145963 | Other | VA | ANTHEM BCBS |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willis Chiropractic Offices | Chiropractor | Past | Accepting new patients |
| Warner Chiropractic Office, PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Richlands, VA
- NPI 1356613780
-
- Chiropractor
- Richlands, VA
- NPI 1255484713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1730158429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1045",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "24641",
"telephone_number": "276-963-0395",
"fax_number": "276-964-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 ALLEGHENY STREET",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "24641",
"telephone_number": "276-963-0395",
"fax_number": "276-964-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "BRENT",
"middle_name": "OLSON",
"name_prefix": "Dr.",
"credential": "CH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7880576",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "145963",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richlands, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.