Brian G. Heaton, D.C., DACBN, CCN

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

1467PT Issued in MD

Practice address

9025 Chevrolet Dr
Suite D
Ellicott City, MD 21042-4017

Phone

(410) 750-2540

Fax

(410) 750-2541

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1988

Medicare assignment

May accept Medicare assignment

Group practices

Ellicott City Wellness Chiropractic LLCGroup PAC ID 2466606611, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ellicott City Wellness Chiropractic, L.L.C.

  • Chiropractor
  • Ellicott City, MD
  • NPI 1063797694
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1982734836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 CHEVROLET DR",
            "address_2": "SUITE D",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424017",
            "telephone_number": "410-750-2540",
            "fax_number": "410-750-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 CHEVROLET DR",
            "address_2": "SUITE D",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424017",
            "telephone_number": "410-750-2540",
            "fax_number": "410-750-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON",
        "first_name": "BRIAN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.C., DACBN, CCN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MD",
            "license": "1467PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD CAREFIRST LOCAL #",
            "identifier": "52122801",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD CAREFIRST LOCAL#TOWSON",
            "identifier": "52122803",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND CAREFIRST GROUP",
            "identifier": "M312HE",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "Y921-0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Healey-Hawks, MPT
• Health Advance, LLC
• Health First Medical Care LLC
• Dorothy Hearn
• Heartshine Acupuncture
• Lindsey G. Heaton, D.C., DACBN, CCN
• Brenda L Hedgren, OTR/L
• Corinne Heiliger, LCPC
• Patrice Marie Hein, PT
• Douglas Wayne Heinrichs, M.D.

• Nutrition Chiropractor in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Nutrition Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.