Taylor Brackman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08003401A Issued in IN

Practice address

609 N Charles St
Portland, IN 47371-3011

Phone

(260) 726-3065

Fax

(260) 726-3406

NPI assigned

Nov 2, 2023

Last updated

Apr 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Clear Chiropractic Indiana LLCGroup PAC ID 1658428271, 4 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clear Chiropractic Indiana, LLC

  dba Clear Choice Chiropractic

  • Chiropractor
  • Portland, IN
  • NPI 1427022946
  Medicare reassignment Care Compare group NPD
• Clear Chiropractic Hartford City, LLC

  • Chiropractor
  • Hartford City, IN
  • NPI 1134944291
  NPD (past)

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1821861741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N CHARLES ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473713011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N CHARLES ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473713011",
            "telephone_number": "260-726-3065",
            "fax_number": "260-726-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKMAN",
        "first_name": "TAYLOR",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003401A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Blakely, LCSW
• Mandy Jean Boeckman, FNP
• Rita Ann Bollenbacher, LAT, ATC
• Elizabeth Ann Bolton
• Stephen Boyle, M.D.
• David M Brown, DO
• Alice Odelia Bruggeman, NP
• Kimberly Bruggeman
• Rachel Elizabeth Brumfield, PA-C
• Michelle L Bruns, NP

• Chiropractor in Portland, IN
• Providers in Portland, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.