Organization Active NPI

Brittian Chiropractic Mooresville PLLC

  • Chiropractor
  • Mooresville, NC
National Provider Identifier
1801676903
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRITTIAN CHIROPRACTIC MOORESVILLE PLLC
Practice address
584 Brawley School Rd Ste 105
Mooresville, NC 28117-8159
Phone
(704) 360-2628
NPI assigned
Oct 5, 2023
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Gerren Brittian, DCNPI 1336469782
Title
Chiropractor
Phone
(678) 416-1488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

584 Brawley School Rd Ste 105
Mooresville, NC 28117-8159

Mailing address

584 Brawley School Rd Ste 105
Mooresville, NC 28117-8159
Phone (704) 360-2628

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231024000735 NC Part B Supplier - Clinic/Group Practice 8325494677 Receives reassigned benefits from 1 practitioner
Practice locations: Mooresville, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1801676903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 BRAWLEY SCHOOL RD STE 105",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178159",
            "telephone_number": "704-360-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 BRAWLEY SCHOOL RD STE 105",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178159",
            "telephone_number": "704-360-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTIAN CHIROPRACTIC MOORESVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "BRITTIAN",
        "authorized_official_first_name": "GERREN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "678-416-1488",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.