Proactive Spine Care LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PROACTIVE SPINE CARE LLC

Doing business as

ProActive Spine Care

Practice address

2835 S Highway 27 Ste 338
Somerset, KY 42501-3063

Phone

(606) 485-4090

Fax

(606) 485-4093

NPI assigned

Apr 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Goodpaster, DCNPI 1518430040

Title

Owner/Chiropractor

Phone

(606) 485-4090

Specialties & licenses 1

Addresses

Other names 1

• ProActive Spine Care Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• Brandon Goodpaster, DC

  • Chiropractor
  • Somerset, KY
  • NPI 1518430040
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1713571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1902651268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 S HIGHWAY 27 STE 338",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013063",
            "telephone_number": "606-485-4090",
            "fax_number": "606-485-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 S HIGHWAY 27 STE 338",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013063",
            "telephone_number": "606-485-4090",
            "fax_number": "606-485-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE SPINE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "GOODPASTER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "606-485-4090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProActive Spine Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProActive Spine Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mistie Price, LPCC
• Pearl Price, CN
• Sherry Price
• Brian Keith Priddle Sr., MD
• Heather Louann Privett, NP
• Professional Counseling Center of Somerset LLC
• Professional Medical Supply LLC
• Professional Pharmacy, LLC
• Prostep Rehab
• Protea Behavioral Health Counseling, PLLC

• Chiropractor in Somerset, KY
• Providers in Somerset, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.