Brent James Manley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034331 Issued in WA

Practice address

1526 Bishop Rd SW
Tumwater, WA 98512-7354

Phone

(360) 459-9000

NPI assigned

May 3, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastside Chiropractic Services, PSGroup PAC ID 9032256474, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eastside Chiropractic Services, PS

  • Chiropractor
  • Tumwater, WA
  • NPI 1588739361
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1750608519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 BISHOP RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127354",
            "telephone_number": "360-459-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 BISHOP RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127354",
            "telephone_number": "360-459-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "BRENT",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilberto Maldonado, LICSWA, CDPT
• Katy Elizabeth Maleta
• Kristin Mallory, LMP
• Kirsten Mancillas, LMT
• Alana Nicole Manley
• Shelliene Brianne Mann, SUDPT
• Georgina Lizbeth Marquez
• Nicole J Marsyla
• Remisses Allen Martin
• Amanda Martineau

• Chiropractor in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.