Doubleday'S Spine & Brain of Southwest Michigan PLLC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

2301009208 Issued in MI

Legal business name

DOUBLEDAY'S SPINE & BRAIN OF SOUTHWEST MICHIGAN PLLC

Practice address

601 South Shore Drive
Suite 121
Battle Creek, MI 49014

Phone

(269) 963-3072

Fax

(269) 963-3085

NPI assigned

Mar 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Beau Doubleday, D.C., D.A.C.N.B.NPI 1972604031

Title

Manager

Phone

(269) 963-3072

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Doubleday's Spine & BRAIN of Southwest Michigan PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Beau Dustin Doubleday, D.C., D.A.C.N.B.

  • Neurology Chiropractor
  • Battle Creek, MI
  • NPI 1972604031
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1982903696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S SHORE DR",
            "address_2": "SUITE 121",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145440",
            "telephone_number": "269-963-3072",
            "fax_number": "269-963-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SOUTH SHORE DRIVE",
            "address_2": "SUITE 121",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49014",
            "telephone_number": "269-963-3072",
            "fax_number": "269-963-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLEDAY'S SPINE & BRAIN OF SOUTHWEST MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "DOUBLEDAY",
        "authorized_official_first_name": "BEAU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "269-963-3072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., D.A.C.N.B."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "MI",
            "license": "2301009208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4878299",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950A210370",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doubleday's Spine & BRAIN of Southwest Michigan PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dorsal Thinking and Living
• Jasmine Elaine Dorsey, M.D
• Gregory Duane Dotson, O.D.
• Chelsea Doty, MA
• Beau Dustin Doubleday, D.C., D.A.C.N.B.
• Melanie Dougherty
• Douglas G Campbell MD - Battle Creek Health System
• Douglas L Campbell D.C, P.C
• Jasmine Dowe-Brewton
• Brian Doyle, O.D.

• Neurology Chiropractor in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Neurology Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.