Individual provider Active NPI

Nebile Alyce Erdmann, D.C.

  • Chiropractor
  • Benbrook, TX
National Provider Identifier
1730638909
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13317 Issued in TX
Practice address
1008 Winscott Rd
Suite a
Benbrook, TX 76126-2778
Phone
(817) 249-8888
NPI assigned
Sep 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13317 TX Primary

Addresses

Primary practice location

1008 Winscott Rd
Suite a
Benbrook, TX 76126-2778

Mailing address

1008 Winscott Rd
Suite a
Benbrook, TX 76126-2778
Phone (817) 249-8888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170105002013 TX Practitioner - Chiropractic 0345521324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1008 Winscott Rd a
Benbrook, TX 76126-2779
Phone (817) 249-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13317TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adjust Your Fitness Chiropractic PLLC Chiropractor CurrentSince Oct 6, 2016 Accepting new patients

Locations

1008 Winscott Rd
Ste A
Benbrook, TX 76126
Phone (469) 309-8243

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1730638909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 WINSCOTT RD",
            "address_2": "SUITE A",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262778",
            "telephone_number": "817-249-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 WINSCOTT RD",
            "address_2": "SUITE A",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262778",
            "telephone_number": "817-249-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDMANN",
        "first_name": "NEBILE",
        "middle_name": "ALYCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benbrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.