Individual provider Active NPI

Brian Jeffrey Hull, D.C.

  • Chiropractor
  • Coeur d'Alene, ID
National Provider Identifier
1972742450
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1353 Issued in ID
Practice address
320 E Neider Ave Ste 105
Coeur D Alene, ID 83815-6007
Phone
(208) 930-4944
Fax
(888) 443-4939
NPI assigned
Feb 6, 2009
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1353 ID Primary

Addresses

Primary practice location

320 E Neider Ave Ste 105
Coeur D Alene, ID 83815-6007

Mailing address

320 E Neider Ave Ste 103
Coeur D Alene, ID 83815-6007
Phone (208) 930-4944

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100812001017 ID Practitioner - Chiropractic 9537293568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unlimited Health ChiropracticGroup PAC ID 7315071339, 17 clinicians

Practice addresses (Care Compare)

9069 N Hess St
Hayden, ID 83835-9827
Phone (208) 518-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-1353IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Unlimited Health Chiropractic Chiropractor CurrentSince Mar 1, 2009 Accepting new patients
Restoration Medical Group LLC Current Accepting new patients
Unlimited Health Chiropractic PastSince Apr 19, 2020 Accepting new patients

Locations

2139 N Main St
Coeur D Alene, ID 83814
Phone (208) 930-1000

320 E Neider Ave
Ste 103
Coeur D Alene, ID 83815
Phone (208) 930-4944

320 E Neider Ave
Ste 105
Coeur D Alene, ID 83815
Phone (208) 930-0045

3145 E Mullan Ave
Ste 500
Post Falls, ID 83854
Phone (208) 981-0129

Organizations & group practices 4

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": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1972742450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NEIDER AVE STE 103",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838156007",
            "telephone_number": "208-930-4944",
            "fax_number": "888-443-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NEIDER AVE STE 105",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838156007",
            "telephone_number": "208-930-4944",
            "fax_number": "888-443-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "BRIAN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.