Organization Active NPI

BB Wellness

Doing business as Foundation Chiropractic

  • Chiropractor
  • Lutz, FL
National Provider Identifier
1871189647
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BB WELLNESS
Doing business as
Foundation Chiropractic
Practice address
16541 Pointe Village Dr Ste 207
Lutz, FL 33558-5259
Phone
(135) 785-8898
NPI assigned
Dec 16, 2020
Last updated
Jan 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Dr. Brett N. BernerNPI 1770024655
Title
President
Phone
(813) 578-5889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

16541 Pointe Village Dr Ste 207
Lutz, FL 33558-5259

Mailing address

16541 Pointe Village Dr Ste 207
Lutz, FL 33558-5259
Phone (813) 578-5889

Other names 1

  • Foundation Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220406001950 FL Part B Supplier - Clinic/Group Practice 9830588417 Receives reassigned benefits from 2 practitioners
Practice locations: Lutz, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1871189647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16541 POINTE VILLAGE DR STE 207",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585259",
            "telephone_number": "813-578-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16541 POINTE VILLAGE DR STE 207",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585259",
            "telephone_number": "135-785-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BB WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "BERNER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-578-5889",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundation Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foundation Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.