Individual provider Active NPI

Brian Jefferson Jenkins, DC

  • Chiropractor
  • Chillicothe, OH
National Provider Identifier
1972655835
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1322 Issued in OH
Practice address
37 S Hickory St
Chillicothe, OH 45601-3317
Phone
(740) 775-0550
Fax
(740) 775-0552
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1322 OH Primary

Addresses

Primary practice location

37 S Hickory St
Chillicothe, OH 45601-3317

Mailing address

37 S Hickory St
Chillicothe, OH 45601-3317
Phone (740) 775-0550

Other identifiers 3

IdentifierTypeStateIssuer
0811518MedicaidOH
000000120416OtherOHANTHEM PIN NUMBER
4400286OtherOHUNITED HEALTHCARE PROVIDE

Other names 1

  • Mr. Brian Jefferson Jenkins Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120103000218 OH Practitioner - Chiropractic 6103850003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37 S Hickory St
Chillicothe, OH 45601-3317
Phone (740) 775-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1322OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jenkins Chiropractic, Inc. Chiropractor CurrentSince Aug 7, 1989 Accepting new patients

Locations

37 S Hickory St
Chillicothe, OH 45601
Phone (740) 775-0550

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1972655835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 S HICKORY ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013317",
            "telephone_number": "740-775-0550",
            "fax_number": "740-775-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 S HICKORY ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013317",
            "telephone_number": "740-775-0550",
            "fax_number": "740-775-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "BRIAN",
        "middle_name": "JEFFERSON",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0811518",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "000000120416",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROVIDE",
            "identifier": "4400286",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "JENKINS",
            "middle_name": "JEFFERSON",
            "prefix": "MR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.