Brick Pain Relief and Wellness, Inst.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC2602 Issued in NJ

Legal business name

BRICK PAIN RELIEF AND WELLNESS, INST.

Practice address

2095 Route 88
Brick, NJ 08724-3265

Phone

(732) 899-5400

Fax

(732) 899-9288

NPI assigned

Dec 14, 2006

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Walsh, D.C.NPI 1518952704

Title

Chiropractor

Phone

(732) 899-5400

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Walsh, D.C.

  • Chiropractor
  • Brick, NJ
  • NPI 1518952704
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1952463267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243265",
            "telephone_number": "732-899-5400",
            "fax_number": "732-899-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243265",
            "telephone_number": "732-899-5400",
            "fax_number": "732-899-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICK PAIN RELIEF AND WELLNESS, INST.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "732-899-5400",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC2602",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MB53521",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA01049100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME#",
            "identifier": "6049930001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brick Dental Associates, P.C.
• Brick Dental Care
• Brick Dental Studio
• Brick Foot & Ankle Center, PC
• Brick Hand & Rehabilitative Services Limited Partnership
• Brick Pediatric Dentistry and Orthodontics
• Brick Pet Partners, LLC (PET Imaging Institute of New Jersey)
• Brick Rheumatology, LLC
• Brick Senior Care, LLC (The Chelsea at Brick)
• Brick Township Endodontics LLC

• Chiropractor in Brick, NJ
• Providers in Brick, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.