Individual provider Active NPI

Brock M Barnick, D.C.

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1972665180
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034833 Issued in WA
Practice address
14575 Bel Red Rd
Suite 100
Bellevue, WA 98007-3908
Phone
(425) 641-8052
Fax
(425) 641-8053
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034833 WA Primary

Addresses

Primary practice location

14575 Bel Red Rd
Suite 100
Bellevue, WA 98007-3908

Mailing address

14575 Bel Red Rd
Suite 100
Bellevue, WA 98007-3908
Phone (425) 641-8052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060322000629 MT Practitioner - Chiropractic 6901814656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Sky Chiropractic Clinic PCGroup PAC ID 5395826390, 3 clinicians

Practice addresses (Care Compare)

120 N 19TH Ave
Suite B
Bozeman, MT 59718-3920
Phone (406) 586-0275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sky Chiropractic Clinic PC Chiropractor CurrentSince May 1, 2023 Accepting new patients
Tall Pines Chiropractic, P.C. Chiropractor Past Accepting new patients
W Chiropractic Incorporated Chiropractor PastSince Apr 1, 2002 Accepting new patients

Locations

120 N 19th Ave
Bozeman, MT 59718
Phone (406) 522-4600

120 N 19th Ave
Ste B
Bozeman, MT 59718
Phone (406) 586-0275

Organizations & group practices 3

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1972665180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14575 BEL RED RD",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073908",
            "telephone_number": "425-641-8052",
            "fax_number": "425-641-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14575 BEL RED RD",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073908",
            "telephone_number": "425-641-8052",
            "fax_number": "425-641-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNICK",
        "first_name": "BROCK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.