Individual provider Active NPI

Brent D Dreier, DC

  • Chiropractor
  • Cuero, TX
National Provider Identifier
1821023367
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6990 Issued in TX
Practice address
809 N Esplanade St
Cuero, TX 77954-3503
Phone
(361) 275-3242
Fax
(361) 277-5834
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6990 TX Primary

Addresses

Primary practice location

809 N Esplanade St
Cuero, TX 77954-3503

Mailing address

809 N Esplanade St
Cuero, TX 77954-3503
Phone (361) 275-3242

Other identifiers 2

IdentifierTypeStateIssuer
7941236OtherTXAETNA
144138801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060712000337 TX Practitioner - Chiropractic 8921011032 Practice locations: Cuero, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

809 N Esplanade St
Cuero, TX 77954-3503
Phone (361) 275-3242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6990TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1821023367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N ESPLANADE ST",
            "city": "CUERO",
            "state": "TX",
            "postal_code": "779543503",
            "telephone_number": "361-275-3242",
            "fax_number": "361-277-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N ESPLANADE ST",
            "city": "CUERO",
            "state": "TX",
            "postal_code": "779543503",
            "telephone_number": "361-275-3242",
            "fax_number": "361-277-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREIER",
        "first_name": "BRENT",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7941236",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144138801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuero, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.