BRILLIANT LIFE CHIROPRACTIC, LLC
NPI 1063666444
Chiropractor in Tacoma, WA

Q: What is Brilliant Life Chiropractic, LLC's NPI number?

The NPI number for Brilliant Life Chiropractic, LLC is 1063666444. It was assigned to this organization in the NPPES registry on November 11, 2008.

Q: What is Brilliant Life Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since November 11, 2008

708 BROADWAY STE 403, TACOMA, WA 98402(253) 383-0577(253) 383-0574 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 14, 2020, Jun 12, 2019 (2 updates tracked since 2019).

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About Brilliant Life Chiropractic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRILLIANT LIFE CHIROPRACTIC, LLC (NPI 1063666444) is a healthcare organization registered as a chiropractor in Tacoma, Washington and active in the NPI registry since November 2008. The organization maintains a secondary practice location in Tacoma and lists Paul William Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1063666444

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameBRILLIANT LIFE CHIROPRACTIC, LLC

Location Address708 BROADWAY STE 403Tacoma, WA 98402

Mailing Address708 Broadway Ste 403Tacoma, WA 98402-3781 · (253) 383-0577 · Fax (253) 383-0574

Phone(253) 383-0577

Fax(253) 383-0574

Organization SubpartNo

Authorized OfficialPaul William MartinOwner · (253) 383-0577

Enumeration DateNovember 11, 2008

Last NPPES UpdateJanuary 14, 20202 updates tracked since enumeration

✔ NPI 1063666444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in WA · CH00034780✔ Licensed in WA · CH00034834

Definition

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.

708 BROADWAY STE 403, Tacoma, WA 98402

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Secondary Practice Location 1

Location 12610 6th AveTacoma, WA 98406-7205 · Phone (253) 383-0577 · Fax (253) 383-0574

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brilliant Life Chiropractic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Brilliant Life Chiropractic, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Paul Martin, D.C.

Chiropractic

NPI 1720225311

708 BROADWAY STE 403
Tacoma, WA 98402

(253) 383-0577

Same address

Laelle Martin, D.C.

Chiropractic

NPI 1629215215

711 COURT A SUITE100
Tacoma, WA 98402

(253) 503-8792

0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brilliant Life Chiropractic, LLC's NPI number?

The NPI number for Brilliant Life Chiropractic, LLC is 1063666444. It was assigned to this organization in the NPPES registry on November 11, 2008.

Where is Brilliant Life Chiropractic, LLC located?

Brilliant Life Chiropractic, LLC is located at 708 Broadway Ste 403, Tacoma, WA 98402. The listed phone number is (253) 383-0577.

What is Brilliant Life Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Brilliant Life Chiropractic, LLC enrolled in Medicare?

Yes. Brilliant Life Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brilliant Life Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Brilliant Life Chiropractic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Brilliant Life Chiropractic, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Brilliant Life Chiropractic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brilliant Life Chiropractic, LLC was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.