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

LicenseStateTypeSpecialty
2755OHMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "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

All providers in Eaton, OH · Chiropractor in Ohio

Sources for this page

Verify at the official NPI Registry.