Healthcare Provider Details

I. General information

NPI: 1295663383
Provider Name (Legal Business Name): PBR CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14810 E 42ND ST S STE 100
INDEPENDENCE MO
64055-4890
US

IV. Provider business mailing address

7376 AARON ST
PARKVILLE MO
64152-8770
US

V. Phone/Fax

Practice location:
  • Phone: 913-308-0308
  • Fax:
Mailing address:
  • Phone: 913-308-0308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: PATRICK RUSSELL
Title or Position: OWNER
Credential:
Phone: 913-308-0308