Individual provider Active NPI

Logan Brackman, DC

  • Chiropractor
  • Muncie, IN
National Provider Identifier
1790578045
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003403A Issued in IN
Practice address
3895 N Wheeling Ave
Muncie, IN 47304-1776
Phone
(765) 288-8851
Fax
(765) 288-8840
NPI assigned
May 28, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08003403A IN Primary

Addresses

Primary practice location

3895 N Wheeling Ave
Muncie, IN 47304-1776

Mailing address

3895 N Wheeling Ave
Muncie, IN 47304-1776
Phone (765) 288-8851

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903003588 IN Practitioner - Chiropractic 4082115746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Clear Chiropractic Muncie, LLCGroup PAC ID 5193134203, 2 clinicians

Practice addresses (Care Compare)

3895 N Wheeling Ave
Muncie, IN 47304-1776
Phone (765) 288-8851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003403AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Chiropractic Muncie, LLC Chiropractor CurrentSince Aug 7, 2025 Accepting new patients

Locations

3895 N Wheeling Ave
Muncie, IN 47304
Phone (765) 281-1131

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1790578045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 N WHEELING AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473041776",
            "telephone_number": "765-288-8851",
            "fax_number": "765-288-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 N WHEELING AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473041776",
            "telephone_number": "765-288-8851",
            "fax_number": "765-288-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKMAN",
        "first_name": "LOGAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003403A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.