Individual provider Active NPI

Brian Herron, DC

  • Chiropractor
  • Farmington Hills, MI
National Provider Identifier
1851918858
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010991 Issued in MI
Practice address
31170 Haggerty Rd
Farmington Hills, MI 48331-5804
Phone
(248) 661-8500
Fax
(248) 661-4054
NPI assigned
Jun 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 2301010991 MI
Rehabilitation Chiropractor 111NR0400X CHIR010365 GA
Chiropractor 111N00000X 2301010991 MI Primary

Addresses

Primary practice location

31170 Haggerty Rd
Farmington Hills, MI 48331-5804

Mailing address

31170 Haggerty Rd
Farmington Hills, MI 48331-5804
Phone (248) 661-8500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230420002757 MI Practitioner - Chiropractic 6103281464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31170 Haggerty Rd
Farmington Hills, MI 48331-5804
Phone (248) 661-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010365GAMDRehabilitation Chiropractor
2301010991MIMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McCarty Chiropractic Center Inc Chiropractor CurrentSince Sep 30, 2023 Accepting new patients
Gaston Family Chiropractic LLC Chiropractor CurrentSince Apr 1, 2023 Accepting new patients
Herron Family Chiropractic LLC Chiropractor CurrentSince Sep 30, 2023 Accepting new patients

Locations

31170 Haggerty Rd
Farmington Hills, MI 48331
Phone (248) 661-8500

108 Northland Plaza Rd
Kalkaska, MI 49646
Phone (231) 258-9874

13919 S West Bay Shore Dr
Ste G01
Traverse City, MI 49684
Phone (231) 929-7450

625 Second St
Traverse City, MI 49684
Phone (231) 922-5060

Organizations & group practices 3

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1851918858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31170 HAGGERTY RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483315804",
            "telephone_number": "248-661-8500",
            "fax_number": "248-661-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31170 HAGGERTY RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483315804",
            "telephone_number": "248-661-8500",
            "fax_number": "248-661-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MI",
            "license": "2301010991",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR010365",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.