Active NPI
Brian Mello, D.C.
- Chiropractor
- Gloucester, MA
National Provider Identifier
1932390630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2136
- Practice address
- 34 Blackburn Ctr
Gloucester, MA 01930-2270 - Phone
- (978) 283-0200
- NPI assigned
- Aug 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2136 | MA | Primary |
Addresses
Primary practice location
34 Blackburn Ctr
Gloucester, MA 01930-2270
Mailing address
PO Box 2253
Rockport, MA 01966-3253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1932390630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2253",
"city": "ROCKPORT",
"state": "MA",
"postal_code": "019663253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 BLACKBURN CTR",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019302270",
"telephone_number": "978-283-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLO",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.