Active NPI
Stacey Brehm, DC
- Chiropractor
- Medina, OH
National Provider Identifier
1891269684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-04858
- Practice address
- 155 Northland Dr
Medina, OH 44256-1534 - Phone
- (330) 723-1441
- Fax
- (330) 723-1881
- NPI assigned
- Jan 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-04858 | OH | Primary |
Addresses
Primary practice location
155 Northland Dr
Medina, OH 44256-1534
Mailing address
1048 Brimfield Dr
Medina, OH 44256-2816
Phone (330) 635-7231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-04858 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maximum Potential Chiropractic Westlake, LLC | Chiropractor | Past | Accepting new patients |
| Maximum Potential Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Westlake, OH
- NPI 1861046302
-
- Chiropractor
- Medina, OH
- NPI 1578743761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1891269684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1048 BRIMFIELD DR",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562816",
"telephone_number": "330-635-7231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 NORTHLAND DR",
"city": "MEDINA",
"state": "OH",
"postal_code": "442561534",
"telephone_number": "330-723-1441",
"fax_number": "330-723-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREHM",
"first_name": "STACEY",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-15",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "DC-04858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.