# BRENTWOOD CHIROPRACTIC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316808033
- **Authorized official:** HENRY PHAM (CO-OWNER)
- **Authorized official phone:** (740) 274-1086

## Contact information

- **Practice address:** 7514 S 84TH ST, LA VISTA, NE 68128-2424
- **Practice address phone:** (740) 274-1086
- **Mailing address:** 7514 S 84TH ST, LA VISTA, NE 68128-2424
- **Mailing address phone:** (740) 274-1086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2025
- **Last updated:** 01/20/2026