James Alan Brenn, DC
Individual provider Active NPI Chiropractor · Eaton, OH
NPI 1962565069 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962565069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2755 (OH)
- Practice address
- 399 East St Clair Street
Eaton, OH 45320-2440 - Phone
- (937) 456-3070
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2755 | OH | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 36 | OH | |
| Chiropractor | 111N00000X | 2755 | OH | Yes |
Addresses
Primary practice location
399 East St Clair Street
Eaton, OH 45320-2440
Mailing address
399 East St Clair Street
Eaton, OH 45320-2440
Phone (937) 456-3070
NPI Registry JSON
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962565069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 EAST ST CLAIR STREET",
"city": "EATON",
"state": "OH",
"postal_code": "453202440",
"telephone_number": "937-456-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 EAST ST CLAIR STREET",
"city": "EATON",
"state": "OH",
"postal_code": "453202440",
"telephone_number": "937-456-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENN",
"first_name": "JAMES",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "36",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eaton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.