Brock William Mattson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1906 Issued in ME

Practice address

150 Bucksport Rd
Ellsworth, ME 04605-2224

Phone

(207) 667-4678

Fax

(207) 667-4679

NPI assigned

Sep 17, 2008

Last updated

Nov 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Active Chiropractic and Wellness

  dba nesiba mattson chiropractic and wellness

  • Chiropractor
  • Ellsworth, ME
  • NPI 1922540301
  NPD (past)
• Bibc, Inc

  dba Back in Balance Chiropractic

  • Physical Medicine & Rehabilitation Physician
  • Bangor, ME
  • NPI 1902956402

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1790934537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BUCKSPORT RD.",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "04605",
            "telephone_number": "207-667-4678",
            "fax_number": "207-667-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BUCKSPORT RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052224",
            "telephone_number": "207-667-4678",
            "fax_number": "207-667-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "BROCK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03563",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Markowitz, MD
• Laura M Marlowe-Flanagan, D.O.
• Kimberly Ann Marshall, NP
• Sagar Marwah, DDS
• Haileigh Mathews, NP
• Elizabeth McCann, CRNA
• Jeffrey McCarthy, LCPC
• Gale Anne McCarty, MD, FACP, FACR
• Michelle McCormick, RDH
• Casey Beck McDaniel, MS OT

• Chiropractor in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.