Brian Kenneth Gerbode, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

17688 Issued in CA

Practice address

3140 Red Hill Ave
Suite 120
Costa Mesa, CA 92626-3400

Phone

(714) 557-0850

Fax

(714) 557-0853

NPI assigned

Sep 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• The Movement Docs Inc

  • Physical Therapy Clinic/Center
  • Newport Beach, CA
  • NPI 1790342822
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962502518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 RED HILL AVE",
            "address_2": "SUITE 120",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263400",
            "telephone_number": "714-557-0850",
            "fax_number": "714-557-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 RED HILL AVE",
            "address_2": "SUITE 120",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263400",
            "telephone_number": "714-557-0850",
            "fax_number": "714-557-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBODE",
        "first_name": "BRIAN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genetic Institute of Anti Aging
• Genex Laboratory Professional Corporation
• Gentle Breeze Manor LLC
• Gentle Hands Health Care Service, LLC
• Kalani Ann George
• Shawnie Gerstenberg
• Reza Ghaboosi
• Sara Ghannadi, PA-C
• Subhash Ramchandra Gharmalkar, N.D.,L.AC.
• Maryrose Ghassan

• Chiropractor in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.