Brandon Lee Rennicker, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4672 Issued in OH

Practice address

1042 Tuscarawas Ave NW
New Philadelphia, OH 44663-1025

Phone

(330) 364-3933

NPI assigned

Dec 10, 2016

Sex

Male

Sole proprietor

Yes

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 OH

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union Hospital Hospital, Dover, OH, CCN 360010

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.

• Rennicker Chiropractic LLC

  • Health Service Clinic/Center
  • New Philadelphia, OH
  • NPI 1659819498
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Union Hospital Association

  • Rural Acute Care Hospital
  • Dover, OH
  • NPI 1871606921
  Care Compare affiliation

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

{
    "created_epoch": "1481328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481328000000",
    "number": "1831633882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10007 ELTON ST SW",
            "city": "NAVARRE",
            "state": "OH",
            "postal_code": "446628731",
            "telephone_number": "740-227-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 TUSCARAWAS AVE NW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446631025",
            "telephone_number": "330-364-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNICKER",
        "first_name": "BRANDON",
        "middle_name": "LEE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-10",
        "last_updated": "2016-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Watson Randolph III, MD
• Bailey R Reed
• Brandalyn Regula, MOT, OTR/L
• Calliannie Dixon Reidenbach, DMD
• Rennicker Chiropractic LLC
• Responsive Home Health Care Inc
• Amanda J Richmond, PRS
• Briana Rivera
• Ryan Patrick Robie, QMHS BA CMS BA
• Carey Ann Robin

• Chiropractor in New Philadelphia, OH
• Providers in New Philadelphia, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2016; 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.