Active NPI
Brian Keith Alexander, DC DOCTOR OF CHIROPR
- Nutrition Chiropractor
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- CH10375
- 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, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH10375 | FL | MD | Nutrition Chiropractor |
| 3470 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John C Theeck DC PA | Current | Accepting new patients | |
| Family Chiropractic Center for Wellness Inc | Nutrition | Current | Accepting new patients |
| Papia Chiropractic Clinic | Past | Accepting new patients | |
| Gary a. Goerg, DC, PA | Past | 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.
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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.