Organization Active NPI

Millbrook Family Chiropractic LLC

  • Chiropractor
  • Millbrook, AL
National Provider Identifier
1902995285
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2130 Issued in AL
Legal business name
MILLBROOK FAMILY CHIROPRACTIC LLC
Practice address
3363 Highway 14
Millbrook, AL 36054-2424
Phone
(334) 285-8483
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Dr. Jeffrey David Pasley, D.C.NPI 1326071440
Title
Manager
Phone
(334) 285-8483

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2130 AL Primary

Addresses

Primary practice location

3363 Highway 14
Millbrook, AL 36054-2424

Mailing address

PO Box 847
Millbrook, AL 36054-0018

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060123000631 AL Part B Supplier - Clinic/Group Practice 9133143753 Receives reassigned benefits from 2 practitioners
Practice locations: Millbrook, AL

National Provider Directory

National Provider Directory

Locations

3363 Highway 14
Millbrook, AL 36054
Phone (334) 285-8483

2700 Highland Ave
Montgomery, AL 36107
Phone (334) 262-4877

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1902995285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360540018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 HIGHWAY 14",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360542424",
            "telephone_number": "334-285-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBROOK FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "PASLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "334-285-8483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millbrook, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.