Individual provider Active NPI

Brian Keith Alexander, DC DOCTOR OF CHIROPR

  • Nutrition Chiropractor
  • Tampa, FL
National Provider Identifier
1942326582
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
CH10375 Issued in FL
Practice address
1004 N Florida Ave
Tampa, FL 33602-3808
Phone
(813) 229-0207
Fax
(813) 223-5972
NPI assigned
Mar 22, 2007
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X CH10375 FL Primary
Rehabilitation Chiropractor 111NR0400X CH10375 FL

Addresses

Primary practice location

1004 N Florida Ave
Tampa, FL 33602-3808

Mailing address

1004 N Florida Ave
Tampa, FL 33602-3808
Phone (813) 229-0207

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130001922 FL Practitioner - Chiropractic 2365895091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John C Theeck D.C., P.a.Group PAC ID 8729110291, 6 clinicians
Family Chiropractic Center for Wellness IncGroup PAC ID 9436250032, 11 clinicians

Practice addresses (Care Compare)

1950 Laurel Manor Dr
Suite 204
The Villages, FL 32162-5608
Phone (352) 259-0024

9206 State Rd Rd
Suite 52
Hudson, FL 34669-3029
Phone (727) 862-8571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10375FLMDNutrition Chiropractor
3470OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
John C Theeck DC PA CurrentSince Dec 27, 2023 Accepting new patients
Family Chiropractic Center for Wellness Inc Nutrition CurrentSince Feb 1, 2026 Accepting new patients
Papia Chiropractic Clinic PastSince Sep 20, 2020 Accepting new patients
Gary a. Goerg, DC, PA PastSince Feb 1, 2026 Accepting new patients
Centerline Health LLC Nutrition Past Accepting new patients

Locations

3155 Aerial Way
Brooksville, FL 34604
Phone (352) 283-8388

9206 State Road 52
Hudson, FL 34669
Phone (727) 312-1043

1950 Laurel Manor Dr
Ste 204
The Villages, FL 32162
Phone (352) 259-0024

8411 Balm St
Weeki Wachee, FL 34607
Phone (352) 340-5936

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1942326582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023808",
            "telephone_number": "813-229-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023808",
            "telephone_number": "813-229-0207",
            "fax_number": "813-223-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DC DOCTOR OF CHIROPR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH10375",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH10375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.