Brilliant Life Chiropractic, LLC
NPI 1063666444ActiveOrganization· Chiropractor· Tacoma, WA
Chiropractor in Tacoma, Washington, registered in NPPES in November 2008. The authorized official on file is Paul William Martin, D.C., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063666444 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2008 |
| Last updated in NPPES | Jan 14, 2020 |
| Certified by provider | Jan 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | CH00034780 | WA |
| Chiropractor | 111N00000X | CH00034834 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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