Active NPI
Brian Keith Spencer, D.C.
- Chiropractor
- Florence, KY
National Provider Identifier
1831243260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 250186
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4245 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chirocare PSC | Chiropractor | Current | 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.
-
- Chiropractor
- Florence, KY
- NPI 1346784832
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.