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DR. BRENT M MOONEY D.C.
NPI 1306862636
Chiropractor in Placerville, CA

Active since July 13, 2006Accepts Medicare Assignment
1980 BROADWAY, PLACERVILLE, CA 95667(530) 622-3536(530) 622-3538 Get Directions Write a Review

NPPES record last updated: July 31, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Brent M Mooney D.c. NPPES

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

DR. BRENT M MOONEY D.C. (NPI 1306862636) is an individual chiropractor in Placerville, California, licensed in California (29028) and active in the NPI registry since July 2006. He is a graduate of Life Chiropractic College - West (2003).

NPPES Registry Identity

NPI1306862636
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRENT M MOONEYCredential: D.C.
Location Address1980 BROADWAYPlacerville, CA 95667-9001
Mailing Address1980 BroadwayPlacerville, CA 95667-9001 · (530) 622-3536 · Fax (530) 622-3538
Phone(530) 622-3536
Fax(530) 622-3538
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 2003
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 31, 2013
✔ NPI 1306862636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 29028
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.
1980 BROADWAY, Placerville, CA 95667
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINU97581CA
MedicaidGDC000640CA
Medicare ID-Type UnspecifiedDC0290280CA · Indiv. Provider Number
Medicare ID-Type UnspecifiedYYY49788YCA · Group Provider Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brent M Mooney D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183525686
PECOS Enrollment IDI20040116001095

Medicare Billing Reassignment

Medicare enrollment records show Brent Mooney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Healthcare Of Placerville
Same address
Pain Medicine
1980 BROADWAY
Placerville, CA 95667
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1932345410 (530) 622-3536

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

Other Providers at the Same Location NPPES 8

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

DR. JOHN M MOONEY D.C.
Chiropractor (Orthopedic)
1980 BROADWAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-3536
MARIE J REEDY P.A.-C
Physician Assistant
1980 BROADWAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-3536
MR. WILLIAM HARRISON WHITE PT
Physical Therapist
1980 BROADWAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-3536
DR. VICTORIA G NELSON D.C.
Chiropractor
1980 BROADWAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-3536
PREMIER HEALTH OF PLACERVILLE INC
Chiropractor (Orthopedic)
1980 BROADWAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-3536
JOHN M MOONEY, A CHIROPRACTIC CORPORATION
Chiropractor
1980 BROADWAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-3536
DR. JOHN C PALMER D.C.
Chiropractor
1980 BROADWAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-3536
PREMIER HEALTHCARE OF PLACERVILLE
Pain Medicine (Pain Medicine)
1980 BROADWAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-3536

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 Brent Mooney's NPI number?

The NPI number for Brent Mooney is 1306862636. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Brent Mooney located?

Brent Mooney practices at 1980 Broadway, Placerville, CA 95667. The listed phone number is (530) 622-3536.

What is Brent Mooney's specialty?

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

Is Brent Mooney enrolled in Medicare?

Yes. Brent Mooney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brent Mooney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brent Mooney reassigns Medicare benefits to Premier Healthcare Of Placerville (Placerville, CA). The 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 Brent Mooney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brent Mooney was last updated on July 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.