Premier Chiropractic & Sports Therapy, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1554

Legal business name

PREMIER CHIROPRACTIC & SPORTS THERAPY, P.C.

Practice address

3908 N 138TH St
Omaha, NE 68164-5009

Phone

(402) 932-8131

NPI assigned

Feb 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Brandon BirdNPI 1538308028

Title

President

Phone

(402) 932-8131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon R Bird, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1538308028
  Medicare reassignment NPD Authorized official
• Eric Michael Clements, DC

  • Chiropractor
  • Omaha, NE
  • NPI 1629088380
  NPD (past)

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1972742062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 N 138TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 N 138TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645009",
            "telephone_number": "402-932-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHIROPRACTIC & SPORTS THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2023-11-06",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-932-8131",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "1554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Omaha, NE
• Providers in Omaha, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.