Individual provider Active NPI

Brendan A. Klema, DC

  • Chiropractor
  • Charlestown, NH
National Provider Identifier
1922149897
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5730999 Issued in NH
Practice address
296 Main St
Charlestown, NH 03603-0077
Phone
(603) 826-5220
Fax
(603) 826-5220
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5730999 NH Primary

Addresses

Primary practice location

296 Main St
Charlestown, NH 03603-0077

Mailing address

296 Main St
PO Box 77
Charlestown, NH 03603-0077
Phone (603) 826-5220

Other identifiers 1

IdentifierTypeStateIssuer
05Y004160NH01OtherNHBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060117000524 NH Practitioner - Chiropractic 4385668425 Practice locations: Charlestown, NH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

296 Main St
Charlestown Family C
Charlestown, NH 03603-0077

PO Box
Suite 77
Charlestown, NH 03603-0077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5730999NHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1922149897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 MAIN ST",
            "address_2": "PO BOX 77",
            "city": "CHARLESTOWN",
            "state": "NH",
            "postal_code": "036030077",
            "telephone_number": "603-826-5220",
            "fax_number": "603-826-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 MAIN ST",
            "city": "CHARLESTOWN",
            "state": "NH",
            "postal_code": "036030077",
            "telephone_number": "603-826-5220",
            "fax_number": "603-826-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMA",
        "first_name": "BRENDAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "5730999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05Y004160NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.