REVIVE CHIROPRACTIC AND PERFORMANCE
NPI 1114784808
Chiropractor in Sugar Land, TX

Active since February 29, 2024
4655 SWEETWATER BLVD STE 200, SUGAR LAND, TX 77479(281) 909-7317 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Revive Chiropractic And Performance NPPES

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

REVIVE CHIROPRACTIC AND PERFORMANCE (NPI 1114784808) is a healthcare organization registered as a chiropractor in Sugar Land, Texas and active in the NPI registry since February 2024. The organization lists David Brazzell, Owner, as its authorized official.

NPPES Registry Identity

NPI1114784808
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameREVIVE CHIROPRACTIC AND PERFORMANCE
Location Address4655 SWEETWATER BLVD STE 200Sugar Land, TX 77479-3015
Mailing Address4655 Sweetwater Blvd Ste 200Sugar Land, TX 77479-3015 · (281) 909-7317
Organization SubpartNo
Authorized OfficialDavid BrazzellOwner · (281) 909-7317
Enumeration DateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1114784808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
4655 SWEETWATER BLVD STE 200, Sugar Land, TX 77479

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 SINGLE SPECIALTY GROUP

Accepted 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)

Revive Chiropractic And Performance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Revive Chiropractic And Performance, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1386284586
167 CITADEL WAY
Sugar Land, TX 77479
(281) 980-1050
✔ Accepts Medicare2.9 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 Revive Chiropractic And Performance's NPI number?

The NPI number for Revive Chiropractic And Performance is 1114784808. It was assigned to this organization in the NPPES registry on February 29, 2024.

Where is Revive Chiropractic And Performance located?

Revive Chiropractic And Performance is located at 4655 Sweetwater Blvd Ste 200, Sugar Land, TX 77479. The listed phone number is (281) 909-7317.

What is Revive Chiropractic And Performance's specialty?

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

Is Revive Chiropractic And Performance enrolled in Medicare?

Yes. Revive Chiropractic And Performance is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Chiropractic And Performance?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Revive Chiropractic And Performance. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Revive Chiropractic And Performance accept?

Health plans from Blue Cross and Blue Shield of Texas list Revive Chiropractic And Performance 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 Revive Chiropractic And Performance was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.