Organization Active NPI

Brian Scott Edwards, D.C., P.a.

  • Chiropractor
  • Tamarac, FL
National Provider Identifier
1891066494
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8204 Issued in FL
Legal business name
BRIAN SCOTT EDWARDS, D.C., P.A.
Practice address
8197 N University Dr Ste 3
Tamarac, FL 33321-1743
Phone
(754) 300-6407
Fax
(954) 944-0355
NPI assigned
Jan 13, 2012
Last updated
Feb 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Dr. Brian Scott Edwards, D.C.NPI 1306917315
Title
Owner/Chiropractor
Phone
(754) 300-6407

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
Chiropractor 111N00000X CH 8204 FL Primary

Addresses

Primary practice location

8197 N University Dr Ste 3
Tamarac, FL 33321-1743

Mailing address

8197 N University Dr Ste 3
Tamarac, FL 33321-1743
Phone (754) 300-6407

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130520000414 FL Part B Supplier - Clinic/Group Practice 7719124387 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory

Locations

9825 W Sample Rd
Ste 101
Coral Springs, FL 33065
Phone (954) 255-8499

Practitioners & affiliated clinicians

Practitioners 1

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": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1891066494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8197 N UNIVERSITY DR STE 3",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211743",
            "telephone_number": "754-300-6407",
            "fax_number": "954-944-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8197 N UNIVERSITY DR STE 3",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211743",
            "telephone_number": "754-300-6407",
            "fax_number": "954-944-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN SCOTT EDWARDS, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "754-300-6407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.