Individual provider Active NPI

Brent William Shealer, D.C.

  • Chiropractor
  • Monroeville, PA
National Provider Identifier
1861543357
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008764 Issued in PA
Practice address
4303 Northern Pike
Monroeville, PA 15146-2807
Phone
(412) 823-5710
Fax
(412) 823-5709
NPI assigned
Jan 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC008764 PA Primary

Addresses

Primary practice location

4303 Northern Pike
Monroeville, PA 15146-2807

Mailing address

400 Penn Center Blvd
Ste 637
Pittsburgh, PA 15235-5613
Phone (412) 823-5710

Other practice location 1

400 Penn Center Blvd
Ste 637
Pittsburgh, PA 15235-5613
Phone (412) 823-5710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050406000562 PA Practitioner - Chiropractic 6103873633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Penn Ctr Blvd
Suite 637
Pittsburgh, PA 15235-5606

4303 Northern Pike
Monroeville, PA 15146-2807
Phone (412) 823-5710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shealer Chiropractic, P.C. Chiropractor CurrentSince Jun 1, 2003 Accepting new patients
Newman Chiropractic Center Chiropractor Past Accepting new patients

Locations

4303 Northern Pike
Monroeville, PA 15146
Phone (412) 823-5710

400 Penn Center Blvd
Ste 637
Pittsburgh, PA 15235
Phone (412) 823-5710

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": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1861543357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PENN CENTER BLVD",
            "address_2": "STE 637",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355613",
            "telephone_number": "412-823-5710",
            "fax_number": "412-823-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 NORTHERN PIKE",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462807",
            "telephone_number": "412-823-5710",
            "fax_number": "412-823-5709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Penn Center Blvd",
            "address_2": "Ste 637",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152355613",
            "country_code": "US",
            "telephone_number": "412-823-5710",
            "fax_number": "412-823-5709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEALER",
        "first_name": "BRENT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.