Individual provider Active NPI

Brian Robert Sebesky, D.C.

  • Chiropractor
  • Jackson, MI
National Provider Identifier
1942398698
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007519 Issued in MI
Practice address
2301 Wildwood Ave
Jackson, MI 49202-3947
Phone
(517) 783-4545
Fax
(517) 783-4544
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007519 MI Primary

Addresses

Primary practice location

2301 Wildwood Ave
Jackson, MI 49202-3947

Mailing address

2301 Wildwood Ave
Jackson, MI 49202-3947
Phone (517) 783-4545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091012000282 MI Practitioner - Chiropractic 6507902129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2301 Wildwood Ave
Jackson, MI 49202-3947
Phone (517) 783-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301007519MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brian R Sebesky D.C., P.C. Chiropractor CurrentSince Feb 2, 2000 Accepting new patients

Locations

2301 Wildwood Ave
Ste B
Jackson, MI 49202

2301 Wildwood Ave
Jackson, MI 49202
Phone (517) 581-2785

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1942398698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023947",
            "telephone_number": "517-783-4545",
            "fax_number": "517-783-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023947",
            "telephone_number": "517-783-4545",
            "fax_number": "517-783-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBESKY",
        "first_name": "BRIAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.