Individual provider Active NPI

Brian Keith Spencer, D.C.

  • Chiropractor
  • Florence, KY
National Provider Identifier
1831243260
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
250186 Issued in KY
Practice address
75 Cavalier Blvd Ste 312
Florence, KY 41042-3963
Phone
(859) 647-7750
Fax
(859) 647-7750
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 250186 KY Primary
Chiropractor 111N00000X 4245 KY

Addresses

Primary practice location

75 Cavalier Blvd Ste 312
Florence, KY 41042-3963

Mailing address

75 Cavalier Blvd Ste 312
Florence, KY 41042-3963
Phone (859) 647-7750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110318000788 KY Practitioner - Chiropractic 6709854177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

75 Cavalier Blvd
Suite 312
Florence, KY 41042-3963
Phone (859) 647-7750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4245KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chirocare PSC Chiropractor CurrentSince Feb 1, 2017 Accepting new patients

Locations

75 Cavalier Blvd
Ste 312
Florence, KY 41042
Phone (859) 282-6323

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1831243260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CAVALIER BLVD STE 312",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423963",
            "telephone_number": "859-647-7750",
            "fax_number": "859-647-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CAVALIER BLVD STE 312",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423963",
            "telephone_number": "859-647-7750",
            "fax_number": "859-647-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "250186",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.