Individual provider Active NPI

Brenja Besteman, DC

  • Chiropractor
  • Deland, FL
National Provider Identifier
1750144168
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14911 Issued in FL
Practice address
121 Victoria Commons Blvd Ste 106
Deland, FL 32724-7773
Phone
(386) 873-4787
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14911 FL Primary

Addresses

Primary practice location

121 Victoria Commons Blvd Ste 106
Deland, FL 32724-7773

Mailing address

121 Victoria Commons Blvd Ste 106
Deland, FL 32724-7773
Phone (386) 873-4787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209002072 FL Practitioner - Chiropractic 7214370923 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14911FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Alignment Chiropractic PLLC Chiropractor CurrentSince Jan 29, 2024 Accepting new patients

Locations

121 Victoria Commons Blvd
Ste 106
Deland, FL 32724
Phone (386) 473-5926

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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1750144168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 VICTORIA COMMONS BLVD STE 106",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247773",
            "telephone_number": "386-873-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 VICTORIA COMMONS BLVD STE 106",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247773",
            "telephone_number": "386-873-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESTEMAN",
        "first_name": "BRENJA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.