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BRACKEEN CHIROPRACTIC PA
NPI 1639242431
Chiropractor in Derby, KS

Active since November 17, 2006
320 N. ROCK RD SUITE 300, BRACKEEN CHIROPRACTIC, DERBY, KS 67037(316) 789-8100(316) 789-9400 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Brackeen Chiropractic Pa NPPES

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

BRACKEEN CHIROPRACTIC PA (NPI 1639242431) is a healthcare organization registered as a chiropractor in Derby, Kansas and active in the NPI registry since November 2006. The organization lists Paul Allen Brackeen, Owner, as its authorized official.

NPPES Registry Identity

NPI1639242431
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBRACKEEN CHIROPRACTIC PA
Location Address320 N. ROCK RD SUITE 300, BRACKEEN CHIROPRACTICDerby, KS 67037
Mailing Address320 N. Rock Rd Suite 300, Brackeen ChiropracticDerby, KS 67037 · (316) 789-8100 · Fax (316) 789-9400
Phone(316) 789-8100
Fax(316) 789-9400
Organization SubpartNo
Authorized OfficialPaul Allen BrackeenOwner · (316) 789-8100
Enumeration DateNovember 17, 2006
Last NPPES UpdateJanuary 26, 2012
✔ NPI 1639242431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in KS · LIC-4-08-2400✔ Licensed in KS · 04628
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.
320 N. ROCK RD SUITE 300, Derby, KS 67037
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Other Identifiers 1

Medicare UPIN060929KS

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 Blue Cross and Blue Shield of Kansas, Inc..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)

Brackeen Chiropractic Pa 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 Brackeen Chiropractic PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Paul Brackeen, D.C.
Chiropractic
NPI 1417987009
320 N. ROCK RD SUITE 300
Derby, KS 67037
(316) 789-8100
✔ Accepts Medicare0.4 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 Brackeen Chiropractic PA's NPI number?

The NPI number for Brackeen Chiropractic PA is 1639242431. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Brackeen Chiropractic PA located?

Brackeen Chiropractic PA is located at 320 N. Rock Rd Suite 300 Brackeen Chiropractic, Derby, KS 67037. The listed phone number is (316) 789-8100.

What is Brackeen Chiropractic PA's specialty?

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

Is Brackeen Chiropractic PA enrolled in Medicare?

Yes. Brackeen Chiropractic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brackeen Chiropractic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Brackeen Chiropractic PA. 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 Brackeen Chiropractic PA accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Brackeen Chiropractic PA 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 Brackeen Chiropractic PA was last updated on January 26, 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.