Individual provider Active NPI

Brendan Richardson

  • Chiropractor
  • Miami, FL
National Provider Identifier
1851277222
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15604 Issued in FL
Practice address
8778 SW 136TH St
Miami, FL 33176-5815
Phone
(786) 977-6100
NPI assigned
Aug 12, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15604 FL Primary

Addresses

Primary practice location

8778 SW 136TH St
Miami, FL 33176-5815

Mailing address

3032 Center St
Miami, FL 33133-8601
Phone (647) 807-7596

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250829002143 FL Practitioner - Chiropractic 7810498995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Canadian Memorial Chiropractic College, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeclinic Physical Therapy and Chiropractic LLCGroup PAC ID 7214222793, 5 clinicians

Practice addresses (Care Compare)

8778 SW 136TH St
Miami, FL 33176-5815
Phone (786) 977-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15604FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeclinic Physical Therapy & Chiropractic LLC Chiropractor CurrentSince Aug 18, 2025 Accepting new patients

Locations

237 S Dixie Hwy
Coral Gables, FL 33133
Phone (786) 322-5603

8778 SW 136th St
Miami, FL 33176
Phone (561) 674-4373

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": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1851277222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 CENTER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331338601",
            "telephone_number": "647-807-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8778 SW 136TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765815",
            "telephone_number": "786-977-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "BRENDAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.