Brennan T Williams (NPI# 1811228521, PAC ID# 2961547716) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1811228521 |
| PAC ID by PECOS | 2961547716 |
| Professional Enrollment ID | I20100303001107 |
| Full Name | Brennan T Williams |
| Organization Legal Name | LIFETIME WELLNESS CHIROPRACTIC PLLC |
| Address |
528 N State St Shelley ID 83274-1154 |
| Phone Number | 2085525555 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2009 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 6406991256 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 528 N State St, Shelley, ID 83274-1154 | 2085525555 | LIFETIME WELLNESS CHIROPRACTIC PLLC |
| Organization Legal Name | LIFETIME WELLNESS CHIROPRACTIC PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan D Keck | Chiropractic | Lifetime Wellness Chiropractic Pllc | 528 N State St, Shelley, ID 83274-1154 |
| Street Address |
528 N STATE ST |
| City | SHELLEY |
| State | ID |
| Zip | 83274-1154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan D Keck | Chiropractic | Lifetime Wellness Chiropractic Pllc | 528 N State St, Shelley, ID 83274-1154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall Charles Searle | Chiropractic | 120 N Emerson Ave, Shelley, ID 83274-1105 | |
| Kristan C Sparks | Optometry | Parkway Eyecare PC | 524 N State St, Shelley, ID 83274-1154 |
| Nathan G Kohler | Optometry | Parkway Eyecare PC | 524 N State St, Shelley, ID 83274-1154 |
| Max Barney | Nurse Practitioner | Mvh Bmc LLC | 210 S Emerson Ave, Shelley, ID 83274-1229 |
| Paul Beckett | Family Medicine | Mvh Bmc LLC | 210 S Emerson Ave, Shelley, ID 83274-1229 |
| Guss R Grimmett | Nurse Practitioner | Mvh Bmc LLC | 210 S Emerson Ave, Shelley, ID 83274-1229 |
| Dennis S Radford | Optometry | 357 W Fir St, Shelley, ID 83274-1456 | |
| Renee Angela Weber | Physical Therapy | Wright Physical Therapy LLC | 650 N State St, Suite 1, Shelley, ID 83274-4900 |
| William Brett Arnell | Physical Therapy | Wright Physical Therapy LLC | 650 N State St, Suite 1, Shelley, ID 83274-4900 |
| City | SHELLEY |
| Zip Code | 83274 |
| Specialty | CHIROPRACTIC |
| City + Specialty | SHELLEY + CHIROPRACTIC |
Please comment or provide details below to improve the information on Brennan T Williams.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.