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

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: August 09, 2026.

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

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
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

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
708 BROADWAY STE 403
TACOMA, WA 98402
Chiropractor
708 BROADWAY STE 403
TACOMA, WA 98402

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.

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.