Individual provider Active NPI

Brett Kubricht, D.C.

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1750728168
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4357 Issued in NC
Practice address
2903 N Davidson St
Suite 2023
Charlotte, NC 28205-1096
Phone
(404) 839-8193
NPI assigned
May 24, 2013
Last updated
May 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4357 NC Primary

Addresses

Primary practice location

2903 N Davidson St
Suite 2023
Charlotte, NC 28205-1096

Mailing address

2903 N Davidson St
Suite 2023
Charlotte, NC 28205-1096
Phone (404) 839-8193

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130923000803 NC Practitioner - Chiropractic 4789828237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians

Practice addresses (Care Compare)

10210 Prosperity Park Dr
Suite 400
Charlotte, NC 28269-5612
Phone (704) 532-4325

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4357NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BK Chiropractic, PA Chiropractor CurrentSince Jul 21, 2013 Accepting new patients

Locations

10210 Prosperity Park Dr
Ste 400
Charlotte, NC 28269
Phone (704) 532-4325

Organizations & group practices 2

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": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1750728168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 N DAVIDSON ST",
            "address_2": "SUITE 2023",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051096",
            "telephone_number": "404-839-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 N DAVIDSON ST",
            "address_2": "SUITE 2023",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051096",
            "telephone_number": "404-839-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBRICHT",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.