Brian Charles McGuckin, D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

08001021A Issued in IN

Practice address

412 Marquette St
Valparaiso, IN 46383-2563

Phone

(219) 531-1234

Fax

(219) 531-0476

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, IL2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McGuckin Chiropractic PC

  • Internist Chiropractor
  • Valparaiso, IN
  • NPI 1306017157
  Medicare reassignment NPD Authorized official
• Dr. Brian McGuckin Laboratory Nutrition, PLLC

  • Internist Chiropractor
  • Frankfort, IL
  • NPI 1992531487
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1821028937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8907",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463618907",
            "telephone_number": "219-531-1234",
            "fax_number": "219-531-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MARQUETTE ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832563",
            "telephone_number": "219-531-1234",
            "fax_number": "219-531-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUCKIN",
        "first_name": "BRIAN",
        "middle_name": "CHARLES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "IN",
            "license": "08001021A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER",
            "identifier": "00000019695",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria McConnell
• Heather McCurdy, M.S.
• Cassondra M McDowell
• Mariel McElfresh, LCSW
• McGuckin Chiropractic PC
• Kathleen R McGuire, PTA
• William McKee, DC
• Ashley McLaughlin, M.S.ED
• Robert E. McMahon, DDS
• Frederick J Meccia, DPM

• Internist Chiropractor in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Internist Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.