Individual provider Active NPI

Brian K Grindstaff, DC

  • Chiropractor
  • Sullivan, IN
National Provider Identifier
1780717637
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001748 Issued in IN
Practice address
210 N Section St Unit C
Sullivan, IN 47882-1237
Phone
(812) 268-3400
Fax
(812) 268-5713
NPI assigned
Mar 13, 2007
Last updated
Nov 21, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001748 IN Primary

Addresses

Primary practice location

210 N Section St Unit C
Sullivan, IN 47882-1237

Mailing address

210 N Section St Unit C
Sullivan, IN 47882-1237
Phone (812) 268-3400

Other identifiers 2

IdentifierTypeStateIssuer
000000386427OtherINBCBS PIN
200150950AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130730000155 TN Practitioner - Chiropractic 5496704066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

231 Public SQ
Suite 300
Franklin, TN 37064-2552
Phone (615) 602-9244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001748INMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Spine & Joint at Westhaven PLLC Chiropractor CurrentSince May 9, 2013 Accepting new patients
Wellnessfirst Chiropractic of Odon Chiropractor Past Accepting new patients
Wellnessfirst Chiropractic of Ellettsville LLC Chiropractor Past Accepting new patients
Brinson Family Chiropractic, Inc. Chiropractor Past Accepting new patients
Linton Chiropractic Clinic Chiropractor PastSince Jul 1, 2007 Accepting new patients

Locations

1025 Westhaven Blvd
Ste 210
Franklin, TN 37064
Phone (615) 465-6768

231 Public Sq
Ste 300
Franklin, TN 37064
Phone (615) 465-6768

Organizations & group practices 5

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1780717637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N SECTION ST UNIT C",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478821237",
            "telephone_number": "812-268-3400",
            "fax_number": "812-268-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N SECTION ST UNIT C",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478821237",
            "telephone_number": "812-268-3400",
            "fax_number": "812-268-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDSTAFF",
        "first_name": "BRIAN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "000000386427",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200150950A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sullivan, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.