Individual provider Active NPI

Brian C Douts, DC

  • Chiropractor
  • Abingdon, VA
National Provider Identifier
1851820153
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104-557423 Issued in VA
Practice address
121 Russell Rd NW Ste 1
Abingdon, VA 24210-2758
Phone
(276) 525-1777
Fax
(276) 525-1771
NPI assigned
Jun 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104-557423 VA Primary

Addresses

Primary practice location

121 Russell Rd NW Ste 1
Abingdon, VA 24210-2758

Mailing address

121 Russell Rd NW Ste 1
Abingdon, VA 24210-2758
Phone (276) 525-1777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180912003003 VA Practitioner - Chiropractic 2163772138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 Charwood Dr
Abingdon, VA 24210-2476
Phone (276) 628-8167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104-557423VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Abingdon Chiropractic Center PC Chiropractor CurrentSince Jan 4, 2021 Accepting new patients
Christopher Brown Chiropractic PC Chiropractor CurrentSince Jul 16, 2018 Accepting new patients

Locations

103 Charwood Dr
Abingdon, VA 24210
Phone (276) 628-8167

105 Market St
North Tazewell, VA 24630
Phone (276) 525-1777

Organizations & group practices 2

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851820153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RUSSELL RD NW STE 1",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102758",
            "telephone_number": "276-525-1777",
            "fax_number": "276-525-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RUSSELL RD NW STE 1",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102758",
            "telephone_number": "276-525-1777",
            "fax_number": "276-525-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUTS",
        "first_name": "BRIAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.