Individual provider Active NPI

Samuel Brenneman

  • Chiropractor
  • Washington, PA
National Provider Identifier
1811629769
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011759 Issued in PA
Practice address
156 W Chestnut St
Washington, PA 15301-4423
Phone
(724) 223-0500
Fax
(724) 222-3412
NPI assigned
Jun 29, 2022
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011759 PA Primary

Addresses

Primary practice location

156 W Chestnut St
Washington, PA 15301-4423

Mailing address

156 W Chestnut St
Washington, PA 15301-4423
Phone (724) 223-0500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220722002081 PA Practitioner - Chiropractic 1658752589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brenneman Chiropractic PCGroup PAC ID 9032289384, 2 clinicians

Practice addresses (Care Compare)

156 W Chestnut St
Washington, PA 15301-4423
Phone (724) 223-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brenneman Chiropractic PC Chiropractor CurrentSince Jul 11, 2022 Accepting new patients

Locations

156 W Chestnut St
Washington, PA 15301
Phone (724) 223-0500

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1811629769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 W CHESTNUT ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014423",
            "telephone_number": "724-223-0500",
            "fax_number": "724-222-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W CHESTNUT ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014423",
            "telephone_number": "724-223-0500",
            "fax_number": "724-222-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNEMAN",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.