Individual provider Active NPI

Brianna Marie Palleschi, DC

  • Chiropractor
  • Saint Clair, MI
National Provider Identifier
1891302329
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401392 Issued in MI
Practice address
300 S Riverside Ave Ste 104
Saint Clair, MI 48079-5386
Phone
(810) 660-8210
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401392 MI Primary

Addresses

Primary practice location

300 S Riverside Ave Ste 104
Saint Clair, MI 48079-5386

Mailing address

300 S Riverside Ave Ste 104
Saint Clair, MI 48079-5386
Phone (810) 660-8210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819001436 MI Practitioner - Chiropractic 8123438041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 S Riverside Ave
Suite 104
Saint Clair, MI 48079-5386
Phone (810) 660-8210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401392MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spruce Chiropractic Chiropractor CurrentSince Jul 24, 2024 Accepting new patients
Spruce Lactation Services CurrentSince Jul 28, 2024 Accepting new patients

Locations

300 S Riverside Ave
Ste 104
Saint Clair, MI 48079
Phone (810) 660-8210

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.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1891302329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S RIVERSIDE AVE STE 104",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795386",
            "telephone_number": "810-660-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S RIVERSIDE AVE STE 104",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795386",
            "telephone_number": "810-660-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLESCHI",
        "first_name": "BRIANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.