DR. BRENT ALAN TIDWELL (D.C.) – Chiropractor, NPI 1154438802

DR. BRENT ALAN TIDWELL (D.C.) is a healthcare provider. based in Tuscaloosa, Alabama. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 1802 (AL). The NPI Number for DR. BRENT ALAN TIDWELL (D.C.) is 1154438802

Main info

Male
Sole Proprietor
29 Years Of Experience
Name
DR. BRENT ALAN TIDWELL (D.C.)
NPI
1154438802
Phone
(205) 752-7503
Address
819 MIMOSA PARK ROAD
Enumeration Date
25 August 2006
Last Update Date
8 July 2015

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE
Secondary Phone
2057527503
Graduation Year
1997 (29 years ago)
PAC ID
1456327675
Professional Enrollment ID
I20130730000229
Address ID
AL354054839TU819XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

507 CHIROPRACTIC in AL

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Provider Addresses for DR. BRENT ALAN TIDWELL (D.C.)

  • 819, Mimosa Park Road, Mimosa Highlands, Tuscaloosa, Tuscaloosa County, Alabama, 35405, United States

    TUSCALOOSA, AL 354053964

    Phone: (205) 752-7503

    Fax: (205) 752-7513

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130730000229IChiropracticALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions63562$0
View full utilization report →

Insurance plans in this area (ZIP 35405)

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Reviews

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Frequently asked questions

What is the registry number for DR. BRENT ALAN TIDWELL (D.C.)?
The registry entry for DR. BRENT ALAN TIDWELL (D.C.) shows NPI 1154438802.
Quick check: is DR. BRENT ALAN TIDWELL (D.C.) active?
Public NPPES data shows DR. BRENT ALAN TIDWELL (D.C.) with an active NPI status right now.
What type of care does DR. BRENT ALAN TIDWELL (D.C.) provide?
DR. BRENT ALAN TIDWELL (D.C.)'s profile centers on Chiropractor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. BRENT ALAN TIDWELL (D.C.)?
DR. BRENT ALAN TIDWELL (D.C.) is associated with Tuscaloosa, Alabama in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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