Organization Active NPI

Brennan Chiropractic PC

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1841495900
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001062 Issued in VA
Legal business name
BRENNAN CHIROPRACTIC PC
Practice address
2129 General Booth Blvd
Ste 115
Virginia Beach, VA 23454-5872
Phone
(757) 430-8000
Fax
(757) 427-2267
NPI assigned
Jun 19, 2007
Last updated
Dec 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Dr. Karen Brennan, D.C.NPI 1356554901
Title
Chiropractor
Phone
(757) 430-8000

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 0104001062 VA Primary

Addresses

Primary practice location

2129 General Booth Blvd
Ste 115
Virginia Beach, VA 23454-5872

Mailing address

2129 General Booth Blvd
Ste 115
Virginia Beach, VA 23454-5872
Phone (757) 430-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081126000259 VA Part B Supplier - Clinic/Group Practice 7618037219 Receives reassigned benefits from 2 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

2105 McComas Way
Ste 200
Virginia Beach, VA 23456
Phone (757) 430-8000

2129 General Booth Blvd
Ste 115
Virginia Beach, VA 23454
Phone (757) 430-8000

Practitioners & affiliated clinicians

Practitioners 2

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": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1841495900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 GENERAL BOOTH BLVD",
            "address_2": "STE 115",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545872",
            "telephone_number": "757-430-8000",
            "fax_number": "757-427-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 GENERAL BOOTH BLVD",
            "address_2": "STE 115",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545872",
            "telephone_number": "757-430-8000",
            "fax_number": "757-427-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENNAN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "757-430-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.