Brett Blitzstein, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC3358 Issued in OH

Practice address

830 Delaware Ave
Marysville, OH 43040-1724

Phone

(937) 645-9000

Fax

(937) 645-9000

NPI assigned

May 1, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1999

Medicare assignment

May accept Medicare assignment

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.

• Central Ohio Clinic of Chiropractic, LLC

  • Chiropractor
  • Marysville, OH
  • NPI 1912275421
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1982848115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 DELAWARE AVE",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401724",
            "telephone_number": "937-645-9000",
            "fax_number": "937-645-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 DELAWARE AVE",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401724",
            "telephone_number": "937-645-9000",
            "fax_number": "937-645-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLITZSTEIN",
        "first_name": "BRETT",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-01",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC3358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Blair, RPH
• James Herman Blakeman, CMS
• Brooke Blakesley
• Charisse Blinder
• Renee Jean Bliss
• Suzanne Blue
• Christopher T Boehman, PAC
• Staci Bordner
• Alan Jacob Boucher, M.D.
• Jordan Bowen

• Chiropractor in Marysville, OH
• Providers in Marysville, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.