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HAVLICEK CHIROPRACTIC INC
NPI 1720497340
Chiropractor in St Augustine, FL

Active since August 07, 2014
2085 A1A S STE 103, ST AUGUSTINE, FL 32080(904) 522-2515(904) 515-2235 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 2, 2020, Jul 15, 2020, May 17, 2017 (3 updates tracked since 2017).

About Havlicek Chiropractic Inc NPPES

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

HAVLICEK CHIROPRACTIC INC (NPI 1720497340) is a healthcare organization registered as a chiropractor in St Augustine, Florida and active in the NPI registry since August 2014. The organization lists Bradley Havlicek, President, as its authorized official.

NPPES Registry Identity

NPI1720497340
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHAVLICEK CHIROPRACTIC INC
Location Address2085 A1A S STE 103St Augustine, FL 32080-6505
Mailing Address2085 A1a S Ste 103St Augustine, FL 32080-6505 · (904) 515-2225 · Fax (904) 515-2235
Phone(904) 522-2515
Fax(904) 515-2235
Organization SubpartNo
Authorized OfficialBradley HavlicekPresident · (904) 515-2225
Enumeration DateAugust 7, 2014
Last NPPES UpdateOctober 2, 20203 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
✔ NPI 1720497340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
2085 A1A S STE 103, St Augustine, FL 32080
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.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)

Havlicek Chiropractic Inc 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 Havlicek Chiropractic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bradley Havlicek, D.C.
Chiropractic
NPI 1245632017
2085 A1A S STE 103
Saint Augustine, FL 32080
(904) 515-2225
Same 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 Havlicek Chiropractic Inc's NPI number?

The NPI number for Havlicek Chiropractic Inc is 1720497340. It was assigned to this organization in the NPPES registry on August 7, 2014.

Where is Havlicek Chiropractic Inc located?

Havlicek Chiropractic Inc is located at 2085 A1a S Ste 103, St Augustine, FL 32080. The listed phone number is (904) 522-2515.

What is Havlicek Chiropractic Inc's specialty?

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

Is Havlicek Chiropractic Inc enrolled in Medicare?

Yes. Havlicek Chiropractic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Havlicek Chiropractic Inc?

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

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Havlicek Chiropractic Inc 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 Havlicek Chiropractic Inc was last updated on October 2, 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.