Organization Active NPI

Brent Leone Chiropractic

  • Chiropractor
  • Frederick, MD
National Provider Identifier
1730901539
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRENT LEONE CHIROPRACTIC
Practice address
110 Thomas Johnson Dr Ste 334
Frederick, MD 21702-4400
Phone
(240) 446-6658
NPI assigned
Oct 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Brent P LeoneNPI 1750158200
Title
Owner
Phone
(240) 446-6658

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 Primary

Addresses

Primary practice location

110 Thomas Johnson Dr Ste 334
Frederick, MD 21702-4400

Mailing address

20025 Thacker Dr
Boonsboro, MD 21713-2753
Phone (240) 446-6658

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241119001864 MD Part B Supplier - Clinic/Group Practice 0345775003 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

110 Thomas Johnson Dr
Ste 334
Frederick, MD 21702
Phone (240) 446-6658

5904 Enterprise Ct
Frederick, MD 21703
Phone (240) 446-6658

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": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1730901539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20025 THACKER DR",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217132753",
            "telephone_number": "240-446-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 THOMAS JOHNSON DR STE 334",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024400",
            "telephone_number": "240-446-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT LEONE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "LEONE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-446-6658"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.