Brian M Lebaron, D.C., MSA., LAC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009941 Issued in PA

Practice address

21 Bishop Hollow Rd
Newtown Square, PA 19073-3212

Phone

(619) 356-2341

NPI assigned

Apr 8, 2008

Last updated

Oct 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2008

Medicare assignment

May accept Medicare assignment

Group practices

KJ Healthcare Group LLCGroup PAC ID 5193899755, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KJ Healthcare Group LLC

  • Chiropractor
  • Glen Mills, PA
  • NPI 1790816825
  Medicare reassignment Care Compare group NPD
• Max Healthcare LLC

  • Chiropractor
  • Newtown Square, PA
  • NPI 1306337639
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1932372281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190870461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BISHOP HOLLOW RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733212",
            "telephone_number": "619-356-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBARON",
        "first_name": "BRIAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C., MSA., LAC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009941",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK000958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis N. Lavalla, DMD
• Dana D Laverty
• Thomas E Lawrence, MD
• Emalee Lear
• Shawn Leask
• Henry Lecours
• Susanne Nussen Lee, MD
• Suzanne Lerner, BCBA
• Steven H Levy, MD
• Life Care Helpers LLC

• Chiropractor in Newtown Square, PA
• Providers in Newtown Square, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.