BRANDON FAMILY CHIROPRACTIC LLC (NPI# 1013419563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013419563 |
| Entity Type | Organization |
| Organization Name | BRANDON FAMILY CHIROPRACTIC LLC |
| Practice Address |
1350 West Government Street Suite A1 Brandon MS 39042 |
| Mailing Address |
2003 Cross Creek Cove Brandon MS 39042 |
| Practice Telephone | 6015277274 |
| Practice Fax Number | 6015277274 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | HALEY JO WILSON (OWNER) |
| Authorized Official Telephone | 6015277274 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1256 | MS | Chiropractic Providers |
| Street Address |
1350 WEST GOVERNMENT STREET SUITE A1 |
| City | BRANDON |
| State | MS |
| Zip Code | 39042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| 1881943900 | Kennedy Chiropractic Clinic Inc | Chiropractor | 393 Crossgates Blvd, Suite B, Brandon, MS 39042 | 2012-09-05 |
| Find all providers in zip 39042 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1538541552 | New Day Chiropractic and Health Solutions,llc | Chiropractor | 125 Hollybush Pl, Brandon, MS 39047-7332 | 2015-06-25 |
| 1790175388 | Cody Lee Kruckenberg | Chiropractor | 312 E Holly Blvd, Brandon, SD 57005 | 2015-02-03 |
| 1881943900 | Kennedy Chiropractic Clinic Inc | Chiropractor | 393 Crossgates Blvd, Suite B, Brandon, MS 39042 | 2012-09-05 |
| 1366719619 | Ronald Jack Travis Utter | Chiropractor | 1355 Oakfield Dr, Brandon, FL 33511-4841 | 2011-11-30 |
| 1669776985 | Amanda Michelle Lenth | Chiropractor | 1806 Sterling Palms Ct Apt 302, Brandon, FL 33511-1728 | 2010-12-29 |
| 1073844684 | Vanessa Nichola Benton | Chiropractor | 500 Vonderburg Dr Ste 105, Brandon, FL 33511-5968 | 2010-01-21 |
| 1477788917 | Chad Franklin Polley | Chiropractor | 166 E Bloomingdale Ave, Suite B, Brandon, FL 33511-8101 | 2009-05-28 |
| 1104079466 | Richard E. Rogovin, Dc, Pa | Chiropractor | 506 Westbrook Ave, Brandon, FL 33511-5316 | 2008-10-30 |
| 1396909792 | Shanelle Etienne | Chiropractor | 920 W. Lumsden Rd, Brandon, FL 33511 | 2008-07-15 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.