Brent Michael Dawson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5503 Issued in KY

Practice address

8172 Main St
Campbellsburg, KY 40011-1467

Phone

(502) 532-0099

Fax

(502) 532-0096

NPI assigned

May 24, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Dawson Spine & Sport Chiropractic, Inc

  • Sports Physician Chiropractor
  • La Grange, KY
  • NPI 1699386433
  Medicare reassignment NPD Authorized official
• Day Chiropractic, PSC

  • Chiropractor
  • New Castle, KY
  • NPI 1790082014
  NPD (past)

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1780032342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "CAMPBELLSBURG",
            "state": "KY",
            "postal_code": "400110293",
            "telephone_number": "502-532-0099",
            "fax_number": "502-532-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8172 MAIN ST",
            "city": "CAMPBELLSBURG",
            "state": "KY",
            "postal_code": "400111467",
            "telephone_number": "502-532-0099",
            "fax_number": "502-532-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "BRENT",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY CHIROPRACTIC LICENSE",
            "identifier": "5503",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluegrass Drug Center Inc
• Campbellsburg Chiropractic, PSC
• Jerry Wayne Caudill, D.M.D.
• Cooks Pharmacy Inc
• Damon Gatewood MD PLLC
• Dr. Molly Doerr OD PSC
• David L Embry, D.M.D.
• Damon L Gatewood, MD
• Katherine Gonterman
• Grey Street Collaborative LLC

• Chiropractor in Campbellsburg, KY
• Providers in Campbellsburg, KY by specialty
• Chiropractor in Kentucky

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