| Brackeen Chiropractic Pa | |
|
320 N. Rock Rd Suite 300, Brackeen Chiropractic, Derby, KS 67037 | |
| (316) 789-8100 | |
| (316) 789-9400 |
| Full Name | Brackeen Chiropractic Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 320 N. Rock Rd Suite 300, Derby, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639242431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | LIC-4-08-2400 (Kansas) | Primary |
| 111N00000X | Chiropractor | 04628 (Kansas) | Secondary |
| Provider Name | Paul A Brackeen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417987009 PECOS PAC ID: 0446296099 Enrollment ID: I20050705000747 |
| Mailing Address | Practice Location Address |
|---|---|
| Brackeen Chiropractic Pa 320 N. Rock Rd Suite 300, Brackeen Chiropractic, Derby, KS 67037 Ph: (316) 789-8100 | Brackeen Chiropractic Pa 320 N. Rock Rd Suite 300, Brackeen Chiropractic, Derby, KS 67037 Ph: (316) 789-8100 |
Dr. Jonathan L Streit, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2307 N Rock Rd Ste 500, Derby, KS 67037 Phone: 316-867-0874 | |
Roots Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 1033 N Rock Rd Ste 200, Derby, KS 67037 Phone: 316-364-3128 Fax: 316-364-3166 | |
Dr. Dan F Smith, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 607 N Baltimore Ave, Derby, KS 67037 Phone: 316-788-3744 Fax: 316-788-3745 | |
Dr. Thomas Alcide Cloutier, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1500 E Tall Tree Rd Apt 39104, Derby, KS 67037 Phone: 541-217-1406 | |
Ewert Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 620 N Baltimore, Suite B, Derby, KS 67037 Phone: 316-788-7500 Fax: 316-788-7702 | |
Dr. Jeremy Daniel Brady, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 205 W Crestway Ave, Suite 100, Derby, KS 67037 Phone: 316-788-3800 Fax: 316-788-3808 | |
Dr. Aric Daniel Cox, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2307 N Rock Rd Ste 500, Derby, KS 67037 Phone: 316-867-0874 |