Organization Active NPI

Brandenburg Chiropractic Inc.

  • Chiropractor
  • Brandenburg, KY
National Provider Identifier
1962828483
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4002 Issued in KY
Legal business name
BRANDENBURG CHIROPRACTIC INC.
Practice address
502 Bypass Rd
Brandenburg, KY 40108-1702
Phone
(270) 422-4445
Fax
(270) 422-4927
NPI assigned
Mar 7, 2014
Last updated
Nov 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Authorized official

Name
Dr. Hans J Cesarz, D.C.NPI 1700937844
Title
Owner
Phone
(270) 422-4445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4002 KY Primary

Addresses

Primary practice location

502 Bypass Rd
Brandenburg, KY 40108-1702

Mailing address

502 Bypass Rd
Brandenburg, KY 40108-1702
Phone (270) 422-4445

Other identifiers 1

IdentifierTypeStateIssuer
1700937844MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180110000331 KY Part B Supplier - Clinic/Group Practice 6507125986 Receives reassigned benefits from 1 practitioner
Practice locations: Brandenburg, KY

National Provider Directory

National Provider Directory

Locations

502 Bypass Rd
Brandenburg, KY 40108
Phone (270) 422-4445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1962828483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 BYPASS RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081702",
            "telephone_number": "270-422-4445",
            "fax_number": "270-422-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BYPASS RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081702",
            "telephone_number": "270-422-4445",
            "fax_number": "270-422-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDENBURG CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "CESARZ",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-422-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700937844",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandenburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.