DR. BRETT ANDREW MYERS (NPI# 1558360867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558360867 |
Entity Type | Individual |
Full Name | DR. BRETT ANDREW MYERS |
Credential | DC |
Practice Address |
1125 E Milham Ave Suite B Portage MI 49002-3096 |
Practice Telephone | 2693812200 |
Practice Fax Number | 2693814233 |
Mailing Telephone | 2693812200 |
Mailing Fax Number | 2693814233 |
Enumeration Date | 2005-07-19 |
Last Update Date | 2014-12-03 |
NPI Deactivation Date | 03/20/2006 |
NPI Reactivation Date | 2006-03-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2301008592 | MI | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 144724125 | 05 | |
MI | US DEPT OF LABOR | 230002000 | 01 |
MI | IBA/PHP | 4430218 | 01 |
MI | BLUE CROSS BLUE SHIELD | 950A310950 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558919498 | Brett Ashley Myers | Physician Assistant | 401 N Broadway St, Baltimore, MD 21287-0019 | 2019-09-03 |
1093369860 | Brett Myers | Speech-Language Pathologist | 417 S Wakara Way, Salt Lake City, UT 84108-1436 | 2019-07-30 |
1518303379 | Brett Alan Myers | Anesthesiology | 4200 University Ave Ste 300, West Des Moines, IA 50266-5945 | 2013-05-20 |
Street Address |
1125 E MILHAM AVE SUITE B |
City | PORTAGE |
State | MI |
Zip Code | 49002-3096 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598316721 | Savannah Marie Stepan | Massage Therapist | 1125 E Milham Ave, Portage, MI 49002-3096 | 2019-09-29 |
1972952182 | Rebecca Brancheau | Specialist | 1125 E Milham Ave, Suite C, Portage, MI 49002-3096 | 2016-06-08 |
1316139314 | A Plus Nursing Inc | Home Health | 1125 E Milham Ave, Ste-a, Portage, MI 49002-3096 | 2007-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
Find all providers in zip 49002 |
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 |
---|---|---|---|---|
1356975775 | Kalamazoo Chiropractic & Rehabilitation | Chiropractor | 3275 Cooley Ct Ste 150, Portage, MI 49024-7432 | 2020-02-25 |
1811548555 | Michael Thomas Martini | Chiropractor | 1930 W Milham Ave Ste D, Portage, MI 49024-2228 | 2019-09-24 |
1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
1023405016 | Ryan Ball | Chiropractor | 5228 Lovers Ln Ste 110, Portage, MI 49002-1521 | 2015-04-17 |
1225434871 | Sarah Malarney | Chiropractor | 3920 W Centre Ave, Portage, MI 49024-4634 | 2014-11-10 |
1730429838 | Living Well Chiropractic Center | Chiropractor | 6040 S 12th St, Suite B, Portage, MI 49024-1752 | 2013-02-26 |
1245588847 | Community Chiropractic Spine Center | Chiropractor | 6325 Central Avenue, Portage, IN 46368-3801 | 2012-08-29 |
1831469865 | Ronald L Warner | Chiropractor | 5919 Portage Rd, Portage, MI 49002-1726 | 2012-01-06 |
1528360351 | A Chiro-effect Chiropractic LLC | Chiropractor | 7117 S Westnedge Ave Ste 3, Portage, MI 49002-4201 | 2010-11-30 |
1386876944 | Jeffrey Edward Wiederhold | Chiropractor | 7117 S Westnedge Ave, Suite #3, Portage, MI 49002-4201 | 2009-08-17 |
Find all providers in PORTAGE |
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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.