Active NPI
Brian K Grindstaff, DC
- Chiropractor
- Sullivan, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001748
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000386427 | Other | IN | BCBS PIN |
| 200150950A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 08001748 | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Spine & Joint at Westhaven PLLC | Chiropractor | Current | 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 | Past | 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.
-
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- NPI 1588009112
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- NPI 1740378272
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- NPI 1720381643
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- Chiropractor
- Bloomington, IN
- NPI 1548578347
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- Chiropractor
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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.