Individual provider Active NPI

Brenna Bacon Ranieli, D.C, LLC

  • Chiropractor
  • Hagerstown, MD
National Provider Identifier
1962709303
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03651 Issued in MD
Practice address
1329 Pennsylvania Ave
Hagerstown, MD 21742-3157
Phone
(301) 791-7111
Fax
(301) 791-7119
NPI assigned
Feb 22, 2011
Last updated
Oct 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03651 MD Primary

Addresses

Primary practice location

1329 Pennsylvania Ave
Hagerstown, MD 21742-3157

Mailing address

1329 Pennsylvania Ave
Hagerstown, MD 21742-3157
Phone (301) 791-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110906000022 MD Practitioner - Chiropractic 3476723248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hagerstown Health LLCGroup PAC ID 8325342629, 2 clinicians

Practice addresses (Care Compare)

1329 Pennsylvania Ave
Hagerstown, MD 21742-3157
Phone (301) 791-7111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hagerstown Health LLC Chiropractor CurrentSince Oct 17, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12907 Oak Hill Ave
Hagerstown, MD 21742
Phone (301) 797-3737

1329 Pennsylvania Ave
Hagerstown, MD 21742
Phone (301) 791-0333

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1962709303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423157",
            "telephone_number": "301-791-7111",
            "fax_number": "301-791-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423157",
            "telephone_number": "301-791-7111",
            "fax_number": "301-791-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANIELI",
        "first_name": "BRENNA",
        "middle_name": "BACON",
        "name_prefix": "Dr.",
        "credential": "D.C, LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.