Individual provider Active NPI

Brent Eugene Babcock, BRENT BABCOCK

  • Chiropractor
  • St George, UT
National Provider Identifier
1740581636
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13220220-1202 Issued in UT
Practice address
1397 W Sunset Blvd Ste 109
St George, UT 84770-4212
Phone
(435) 275-8888
Fax
(435) 275-9230
NPI assigned
Nov 8, 2010
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13220220-1202 UT Primary

Addresses

Primary practice location

1397 W Sunset Blvd Ste 109
St George, UT 84770-4212

Mailing address

1397 W Sunset Blvd Ste 109
St George, UT 84770-4212
Phone (435) 275-8888

Other names 1

  • Brent Eugene Babcock Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230302001780 UT Practitioner - Chiropractic 6507017704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Clinic PlusGroup PAC ID 1850752627, 2 clinicians

Practice addresses (Care Compare)

1397 W Sunset Blvd
Suite 109
St George, UT 84770-4212
Phone (435) 275-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31829CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Clinic Plus Chiropractor CurrentSince May 29, 2023 Accepting new patients
Alexander Chiropractic and Wellness Inc. Chiropractor CurrentSince Aug 1, 2021 Accepting new patients
Mental Health and Wellness Group PastSince Sep 6, 2022 Accepting new patients

Locations

8157 Brentwood Blvd
Ste A
Brentwood, CA 94513
Phone (925) 516-1391

2410 San Ramon Valley Blvd
Ste 115
San Ramon, CA 94583
Phone (925) 838-2600

1397 W Sunset Blvd
Ste 109
St George, UT 84770
Phone (435) 275-8888

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1740581636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 W SUNSET BLVD STE 109",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704212",
            "telephone_number": "435-275-8888",
            "fax_number": "435-275-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 W SUNSET BLVD STE 109",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704212",
            "telephone_number": "435-275-8888",
            "fax_number": "435-275-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "BRENT",
        "middle_name": "EUGENE",
        "credential": "BRENT BABCOCK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-08",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "13220220-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENT",
            "last_name": "BABCOCK",
            "middle_name": "EUGENE",
            "credential": "BRENT BABCOCK,  D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.