BRENT LEE PETERSON (NPI# 1134141575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134141575 |
| Entity Type | Individual |
| Full Name | BRENT LEE PETERSON |
| Credential | D.C. |
| Practice Address |
115 N Collegiate Dr Paris TX 75460-4842 |
| Practice Telephone | 9037399948 |
| Practice Fax Number | 9037399395 |
| Mailing Telephone | 9037399948 |
| Mailing Fax Number | 9037399395 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 9087 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TAX ID | 752961955 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427080894 | Brent P Peterson | Neurological Surgery | 3336 N. Futrall Drive, Fayetteville, AR 72703 | 2006-07-07 |
| 1497934400 | Brent C Peterson | Counselor | 1657 Merrimac Trl, Williamsburg, VA 23185-5624 | 2007-10-25 |
| 1356535694 | Brent E. Peterson | Chiropractor | 1415 N 400 E, Suite C, Logan, UT 84341-7539 | 2007-08-29 |
| 1124161385 | Brent Allen Peterson | Hearing Instrument Specialist | 153 W 151st St, 140, Olathe, KS 66061-5348 | 2007-02-15 |
| Street Address |
115 N COLLEGIATE DR |
| City | PARIS |
| State | TX |
| Zip Code | 75460-4842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538187216 | Douglas Scott Biard | Chiropractor | 115 N Collegiate Dr, Paris, TX 75460-4842 | 2006-07-18 |
| 1093905630 | Paris Chiropractic Center | Chiropractor | 115 N Collegiate Dr, Paris, TX 75460-4842 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574409 | Patrick Hayden Tomlinson | Pharmacist | 707 Lamar Ave Suite A, Paris, TX 75460 | 2020-09-25 |
| 1053938530 | King Vision of Tyler LLC | Hospice Care, Community Based | 2555 Ruby Way 8102, Paris, TX 75460 | 2020-06-30 |
| 1376013946 | Kristi Marie Holden | In Home Supportive Care | 1320 27th Ne, Paris, TX 75460 | 2018-11-27 |
| 1316422629 | Md Consultative Services, LLC | Family Medicine | 3310 Lamar Avenue, Suite A, Paris, TX 75460 | 2018-10-02 |
| 1386123941 | Luz Elena Luna | Licensed Vocational Nurse | 11245 15 St Se, Paris, TX 75460 | 2018-08-14 |
| 1255821369 | Paris Speech Pathology Clinic, Pllc | Speech-Language Pathologist | 2404 Lamar Ave, Paris, TX 75460 | 2018-05-14 |
| 1083127054 | Conway Counseling, LLC | Counselor | 2654 Lamar Ave., 1, Paris, TX 75460 | 2017-11-13 |
| 1851803373 | Paris Wellness Center & Medical Spa | Family Medicine | 1122 E. Austin St., Paris, TX 75460 | 2017-10-25 |
| 1053863357 | Medprime Health Services LLC | Pharmacy | 3310 Lamar Ave Ste B, Paris, TX 75460 | 2016-11-03 |
| 1386098523 | Nikki Goodale | Occupational Therapist | 2710 E Price St, Paris, TX 75460 | 2016-04-13 |
| Find all providers in zip 75460 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861813818 | Curtis Wayne Brust | Chiropractor | 29 N Express St, Paris, AR 72855-3207 | 2013-12-18 |
| 1619221082 | Johnson Chiropractic Center, PC | Chiropractor | 201 N. Collegiate, #900, Paris, TX 75460 | 2012-11-06 |
| 1063726073 | Northeast Texas Clinic of Chiropractic, P.corp | Chiropractor | 201 N Collegiate Dr Ste 900, Paris, TX 75460-1499 | 2010-08-02 |
| 1386970184 | Jason D Hill | Chiropractor | 3195 Lamar Ave., Paris, TX 75460 | 2009-10-29 |
| 1477621274 | West Tn Chiropractic Pllc | Chiropractor | 1024 Mineral Wells Ave, Paris, TN 38242-4904 | 2006-12-01 |
| 1912092891 | David James Keding | Chiropractor | 416 Millersburg Rd, Paris, KY 40361-2145 | 2006-10-04 |
| 1841307980 | Gregory L Thompson | Chiropractor | 3305 Ne Loop 286, Ste A, Paris, TX 75460 | 2006-08-24 |
| 1538187216 | Douglas Scott Biard | Chiropractor | 115 N Collegiate Dr, Paris, TX 75460-4842 | 2006-07-18 |
| 1063446797 | Ballard Ray Boren | Chiropractor | 70 42nd St Ne, Suite A, Paris, TX 75462-5220 | 2006-07-10 |
| 1902847213 | Robert Wesley Medlin | Chiropractor | 212 Memorial Dr, Paris, TN 38242-5416 | 2006-06-09 |
| Find all providers in PARIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.