Stephen M Brenan, D.C
Individual provider Active NPI Chiropractor · Celebration, FL
NPI 1922022490 · NPPES record last updated Sep 28, 2010
Key facts
- NPI
- 1922022490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 7227 (FL)
- Practice address
- 610 Sycamore St
Suite 230
Celebration, FL 34747-4995 - Phone
- (321) 939-2168
- Fax
- (321) 939-2169
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peak Health and Business Solutions, LLC
Practice addresses (Care Compare)
610 Sycamore St
Suite 230
Celebration, FL 34747-4997
Phone (704) 578-5362
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101007000158 | FL | Practitioner - Chiropractic | 6608838503 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7227 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Health & Business Solutions, LLC | Chiropractor | Current |
Accepting new patients |
| First Choice Chiropractic Center PC | Chiropractor | Past | Accepting new patients |
| First Choice Chiropractic and Wellness Center | Chiropractor | Past |
Accepting new patients |
| Mark Pierce Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
Locations
610 Sycamore St
Ste 230
Kissimmee, FL 34747
Phone (321) 939-2168
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2363 | NC | |
| Chiropractor | 111N00000X | 7227 | FL | Yes |
Addresses
Primary practice location
610 Sycamore St
Suite 230
Celebration, FL 34747-4995
Mailing address
610 Sycamore St
Suite 230
Celebration, FL 34747-4995
Phone (321) 939-2168
Other providers in Celebration, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2010. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.