Individual provider Active NPI

Brittany Marie Plymell, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1871141440
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6020 Issued in OR
Practice address
1616 SE Bybee Blvd
Portland, OR 97202-5715
Phone
(503) 468-9431
NPI assigned
Aug 27, 2019
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6020 OR Primary

Addresses

Primary practice location

1616 SE Bybee Blvd
Portland, OR 97202-5715

Mailing address

9434 N Macrum Ave
Portland, OR 97203-2554
Phone (503) 468-9431

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191216000833 OR Practitioner - Chiropractic 7719310200 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newberg Family Chiropractic PC Chiropractor CurrentSince Nov 5, 2019 Accepting new patients
Vida Chiropractic and Wellness, LLC Chiropractor CurrentSince Jan 1, 2020 Accepting new patients

Locations

114 E Hancock St
Newberg, OR 97132
Phone (503) 537-4211

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1871141440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9434 N MACRUM AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972032554",
            "telephone_number": "503-468-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 SE BYBEE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025715",
            "telephone_number": "503-468-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLYMELL",
        "first_name": "BRITTANY",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.