NPIMap

Organization Active NPI

Brian G. Supplee, D.C., Inc.

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1871930610
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1465 Issued in OH
Legal business name
BRIAN G. SUPPLEE, D.C., INC.
Practice address
2545 Petzinger Rd
Suite K
Columbus, OH 43209-3498
Phone
(614) 338-1440
Fax
(614) 338-1450
NPI assigned
Jun 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Brian G. Supplee, D.C.NPI 1679572234
Title
President
Phone
(614) 306-5696

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 1465 OH Primary

Addresses

Primary practice location

2545 Petzinger Rd
Suite K
Columbus, OH 43209-3498

Mailing address

2545 Petzinger Rd
Suite K
Columbus, OH 43209-3498
Phone (614) 338-1440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130813000215 OH Part B Supplier - Clinic/Group Practice 3375785843 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

2545 Petzinger Rd
Ste K
Columbus, OH 43209
Phone (614) 338-1440

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1871930610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 PETZINGER RD",
            "address_2": "SUITE K",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432093498",
            "telephone_number": "614-338-1440",
            "fax_number": "614-338-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 PETZINGER RD",
            "address_2": "SUITE K",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432093498",
            "telephone_number": "614-338-1440",
            "fax_number": "614-338-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN G. SUPPLEE, D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "SUPPLEE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-306-5696",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.