Active NPI
Jennifer L Bett-Gray, DC
- Chiropractor
- Brentwood, TN
National Provider Identifier
1962551689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0000001537
- Practice address
- 136 Wilson Pike Cir
Brentwood, TN 37027-5280 - Phone
- (615) 373-7009
- Fax
- (615) 373-7090
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000001537 | TN | Primary |
Addresses
Primary practice location
136 Wilson Pike Cir
Brentwood, TN 37027-5280
Mailing address
136 Wilson Pike Cir
Brentwood, TN 37027-5280
Phone (615) 373-7009
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4079900 | Other | TN | BCBS |
| 9129290 | Other | TN | PHCS |
| 2631190 | Other | TN | CIGNA |
| 622740 | Other | TN | UNITED HEALTHCARE |
| 3970671 | Other | TN | MEDICARE PTIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0000001537 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Micah Management LLC | Chiropractor | Current | Accepting new patients |
Locations
136 Wilson Pike Cir
Brentwood, TN 37027
Phone (615) 373-7009
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": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1962551689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 WILSON PIKE CIR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275280",
"telephone_number": "615-373-7009",
"fax_number": "615-373-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 WILSON PIKE CIR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275280",
"telephone_number": "615-373-7009",
"fax_number": "615-373-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETT-GRAY",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000001537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4079900",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9129290",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2631190",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "622740",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTIN",
"identifier": "3970671",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.