Individual provider Active NPI

Brent Leone

  • Chiropractor
  • Frederick, MD
National Provider Identifier
1750158200
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557954 Issued in VA
Practice address
110 Thomas Johnson Dr Ste 334
Frederick, MD 21702-4400
Phone
(240) 446-6658
NPI assigned
Dec 5, 2023
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557954 VA 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
I20241119001927 MD Practitioner - Chiropractic 1254866916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Thomas Johnson Dr
Suite 334
Frederick, MD 21702-4400
Phone (240) 446-6658

5904 Enterprise CT
Frederick, MD 21703-5978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104557954VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brent Leone Chiropractic Chiropractor CurrentSince Nov 1, 2024 Accepting new patients

Locations

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

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

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": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1750158200",
    "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": {
        "last_name": "LEONE",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-05",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557954",
            "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.
  • 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.