Active NPI
Breck Markham Beasley, DC
- Chiropractor
- Covington, TN
National Provider Identifier
1861528481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0000001285
- Practice address
- 210 W Pleasant Ave
Covington, TN 38019-2538 - Phone
- (901) 475-1100
- Fax
- (901) 475-1105
- NPI assigned
- Feb 26, 2007
- Last updated
- Aug 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000001285 | TN | Primary |
Addresses
Primary practice location
210 W Pleasant Ave
Covington, TN 38019-2538
Mailing address
210 W Pleasant Ave
Covington, TN 38019-2538
Phone (901) 475-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080703000260 | TN | Practitioner - Chiropractic | 6406853662 | Practice locations: Covington, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
210 W Pleasant Ave
Covington, TN 38019-2538
Phone (901) 475-1100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0000001285 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tipton County Integrated Medicine | Current | Accepting new patients | |
| Renew Medical Center LLC | Current | Accepting new patients | |
| Campbell Family Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Link Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Healthfirst 003 LLC | Chiropractor | Past | Accepting new patients |
Locations
210 W Pleasant Ave
Covington, TN 38019
Phone (901) 475-1100
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Dyersburg, TN
- NPI 1982202750
-
- General Practice Physician
- Covington, TN
- NPI 1093265605
-
dba Family Wellness Chiropractic
- Chiropractor
- Gilbert, AZ
- NPI 1083803308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1861528481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W PLEASANT AVE",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380192538",
"telephone_number": "901-475-1100",
"fax_number": "901-475-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W PLEASANT AVE",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380192538",
"telephone_number": "901-475-1100",
"fax_number": "901-475-1105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "BRECK",
"middle_name": "MARKHAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000001285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, TN
- Baptist Memorial Hospital-Tipton (Baptist Memorial Hospital, Tipton- Outpatient Pharmacy)
- Baptist Memorial Hospital-Tipton
- Andrea M Barnes
- Annie Barnes
- Margaret Barnes
- Elizabeth Beasley, BSW
- Jimmie L. Beasley, M.D.
- Phillip Lee Bendall, LSPE/HSP
- Tiffany Elaine Berford, LCSW
- Bierman Whitley & Hughes PTRS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.