Brendan Tucker Casey, DC
Chiropractor in Santa Fe, NM. Individual provider (NPI-1).
NPI number1003040973
StatusActive
Last updated in NPPESMar 23, 2024
Details
- NPI
- 1003040973
- Entity type
- Individual (NPI-1)
- Name
- Brendan Tucker Casey
- Credential
- DC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2009
- Certification date
- Apr 7, 2021
- Last updated
- Mar 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2174 | NM | Yes |
Practice location
501 Franklin AveSanta Fe, NM 87501-3617
Phone 505-690-1873
Mailing address
501 Franklin AveSanta Fe, NM 87501
Phone 505-690-1873
Other practice locations
1348 Pacheco St
Santa Fe, NM 87505-4222
Santa Fe, NM 87505-4222
Phone 505-901-7049
1348 Pacheco St
Santa Fe, NM 87505-4222
Santa Fe, NM 87505-4222
Phone 505-901-7049
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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