Organization Active NPI

Hamilton Chiropractic

  • Chiropractor
  • Hamilton, AL
National Provider Identifier
1841345287
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2010 Issued in AL
Legal business name
HAMILTON CHIROPRACTIC
Practice address
432 Aggie Ave
Hamilton, AL 35570-5676
Phone
(205) 921-5700
Fax
(205) 921-5701
NPI assigned
Jan 24, 2007
Last updated
Jun 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Dr. Bryan D Serena, D.C.NPI 1588759088
Title
Chiropractor
Phone
(205) 921-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2010 AL Primary

Addresses

Primary practice location

432 Aggie Ave
Hamilton, AL 35570-5676

Mailing address

PO Box 249
Hamilton, AL 35570-0249
Phone (205) 921-5700

Other identifiers 1

IdentifierTypeStateIssuer
102G357304OtherALMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110725000714 AL Part B Supplier - Clinic/Group Practice 6002084720 Receives reassigned benefits from 1 practitioner
Practice locations: Hamilton, AL

National Provider Directory

National Provider Directory
Tax ID family
Hamilton Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

432 Aggie Ave
Hamilton, AL 35570
Phone (205) 921-5700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1841345287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355700249",
            "telephone_number": "205-921-5700",
            "fax_number": "205-921-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 AGGIE AVE",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355705676",
            "telephone_number": "205-921-5700",
            "fax_number": "205-921-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "SERENA",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "205-921-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "102G357304",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.