Brent Frank Lewallen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001227A Issued in IL

Practice address

909 Linway Dr
Suite 1
Goshen, IN 46526-2431

Phone

(574) 534-4400

Fax

(574) 534-5855

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elkhart County Chiropractic

  • Chiropractor
  • Goshen, IN
  • NPI 1508895426
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1871520122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 LINWAY DR",
            "address_2": "SUITE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465262431",
            "telephone_number": "574-534-4400",
            "fax_number": "574-534-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 LINWAY DR",
            "address_2": "SUITE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465262431",
            "telephone_number": "574-534-4400",
            "fax_number": "574-534-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWALLEN",
        "first_name": "BRENT",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "08001227A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100366320",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L Lecount, MNT
• Jonathan E Lehman, D.P.M.
• Timothy Aaron Lehman
• Sierra Lynn Lenczycki, MSW, LSW
• Araceli Lepe Moreno, LSW
• Latoya S Lewis
• Jingpin Li, MD
• Alexandra R Liberi, SLP
• Amber Liddick
• Danielle M. Lies Stutsman, DDS

• Chiropractor in Goshen, IN
• Providers in Goshen, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.