Beyond the Spine Chiropractic, LLC
Organization Active NPI Chiropractor · Plattsmouth, NE
NPI 1902373822 · NPPES record last updated Mar 26, 2021
Key facts
- NPI
- 1902373822
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BEYOND THE SPINE CHIROPRACTIC, LLC
- Practice address
- 306 N 7TH St
Plattsmouth, NE 68048-1310 - Phone
- (402) 298-5774
- Fax
- (402) 999-0871
- NPI assigned
- Oct 29, 2018
- Organization subpart
- No
Authorized official
- Name
- Courtney M Bradley, DC
- Title
- Owner
- Phone
- (402) 881-9638
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181212000843 | NE | Part B Supplier - Clinic/Group Practice | 6901140367 |
Receives reassigned benefits from 1 practitioner Practice locations: Plattsmouth, NE |
National Provider Directory
Locations
306 N 7th St
Plattsmouth, NE 68048
Phone (402) 296-2196
546 Avenue A
Ste 2
Plattsmouth, NE 68048
Phone (402) 296-2196
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes | ||
| Health Service Clinic/Center | 261QH0100X |
Addresses
Primary practice location
306 N 7TH St
Plattsmouth, NE 68048-1310
Mailing address
306 N 7TH St
Plattsmouth, NE 68048-1310
Phone (402) 298-5774
Other providers in Plattsmouth, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.