Individual provider Active NPI

Brian Matthew Spiecha, D.C.

  • Chiropractor
  • Germantown, TN
National Provider Identifier
1780775437
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000001141 Issued in TN
Practice address
2121 S Germantown Rd
Germantown, TN 38138-3803
Phone
(901) 757-9000
Fax
(901) 755-9605
NPI assigned
Sep 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 DC0000001141 TN Primary

Addresses

Primary practice location

2121 S Germantown Rd
Germantown, TN 38138-3803

Mailing address

2121 S Germantown Rd
Germantown, TN 38138-3803
Phone (901) 757-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111122000501 TN Practitioner - Chiropractic 1355515693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Germantown Chiropractic Clinic PLLCGroup PAC ID 7315193455, 2 clinicians

Practice addresses (Care Compare)

2121 Germantown Rd
Suite 4
Germantown, TN 38138-3861
Phone (901) 757-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0000001141TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Germantown Chiropractic Clinic PLLC Chiropractor CurrentSince Jan 1, 2012 Accepting new patients
Terry J. Hanson DC Chiropractor PastSince Jan 1, 2012 Accepting new patients

Locations

2121 S Germantown Rd
Germantown, TN 38138
Phone (901) 756-5603

2121 S Germantown Rd
Ste 4
Germantown, TN 38138
Phone (901) 757-9000

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780775437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S GERMANTOWN RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383803",
            "telephone_number": "901-757-9000",
            "fax_number": "901-755-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S GERMANTOWN RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383803",
            "telephone_number": "901-757-9000",
            "fax_number": "901-755-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIECHA",
        "first_name": "BRIAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.