Individual provider Active NPI

Brett Brian Brimhall, BS, DC

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1790712032
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7089 Issued in AZ
Practice address
3303 E Baseline Rd Ste 204
Gilbert, AZ 85234-2728
Phone
(480) 964-5107
Fax
(480) 964-5234
NPI assigned
Jun 26, 2006
Last updated
Dec 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7089 AZ Primary

Addresses

Primary practice location

3303 E Baseline Rd Ste 204
Gilbert, AZ 85234-2728

Mailing address

3303 E Baseline Rd Ste 204
Gilbert, AZ 85234-2728
Phone (480) 964-5107

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231211000198 AZ Practitioner - Chiropractic 3779522321 Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
7089AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrihealth LLC PastSince Mar 31, 2003 Accepting new patients

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, 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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1790712032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD STE 204",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342728",
            "telephone_number": "480-964-5107",
            "fax_number": "480-964-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD STE 204",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342728",
            "telephone_number": "480-964-5107",
            "fax_number": "480-964-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIMHALL",
        "first_name": "BRETT",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "BS, DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.