BEACH BOULEVARD CHIROPRACTIC
NPI 1619241890
Chiropractor in Jacksonville, FL

Q: What is Beach Boulevard Chiropractic's NPI number?

The NPI number for Beach Boulevard Chiropractic is 1619241890. It was assigned to this organization in the NPPES registry on March 6, 2012.

Q: What is Beach Boulevard Chiropractic's specialty?

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

Active since March 06, 2012

11915 BEACH BLVD, SUITE 105, JACKSONVILLE, FL 32246(904) 683-0793(904) 619-4740 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Beach Boulevard Chiropractic NPPES

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

BEACH BOULEVARD CHIROPRACTIC (NPI 1619241890) is a healthcare organization registered as a chiropractor in Jacksonville, Florida and active in the NPI registry since March 2012. The organization lists Brian Daniel Winkler, Doctor / Manager, as its authorized official.

NPPES Registry Identity

NPI1619241890

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameBEACH BOULEVARD CHIROPRACTIC

Location Address11915 BEACH BLVD, SUITE 105Jacksonville, FL 32246-6704

Mailing Address11915 Beach Blvd, Suite 105Jacksonville, FL 32246-6704 · (904) 683-0793 · Fax (904) 619-4740

Phone(904) 683-0793

Fax(904) 619-4740

Organization SubpartNo

Authorized OfficialBrian Daniel WinklerDoctor / Manager · (954) 801-4465

Enumeration DateMarch 6, 2012

Last NPPES UpdateJune 8, 2012

✔ NPI 1619241890 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.

11915 BEACH BLVD, Jacksonville, FL 32246

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beach Boulevard Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateFloridaEnrollment IDO20120827000280Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beach Boulevard Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brian Winkler, D.C.

Chiropractic

NPI 1568649952

11915 BEACH BLVD SUITE 105
Jacksonville, FL 32246

(904) 683-0793

✔ Accepts MedicareSame address

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 Beach Boulevard Chiropractic's NPI number?

The NPI number for Beach Boulevard Chiropractic is 1619241890. It was assigned to this organization in the NPPES registry on March 6, 2012.

Where is Beach Boulevard Chiropractic located?

Beach Boulevard Chiropractic is located at 11915 Beach Blvd Suite 105, Jacksonville, FL 32246. The listed phone number is (904) 683-0793.

What is Beach Boulevard Chiropractic's specialty?

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

Is Beach Boulevard Chiropractic enrolled in Medicare?

Yes. Beach Boulevard Chiropractic is registered in the Medicare PECOS enrollment system.

When is Beach Boulevard Chiropractic's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Beach Boulevard Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Beach Boulevard Chiropractic. 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.

When was this NPI record last updated?

The NPPES record for Beach Boulevard Chiropractic was last updated on June 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.