Active NPI
Brandon David Fox, D.C.
- Rehabilitation Chiropractor
- Cameron Park, CA
National Provider Identifier
1013157619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC-30805
- Practice address
- 3370 Country Club Dr
Cameron Park, CA 95682-8633 - Phone
- (530) 350-7314
- Fax
- (530) 903-4633
- NPI assigned
- Feb 23, 2009
- Reactivated
- Nov 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC-30805 | CA | Primary |
Addresses
Primary practice location
3370 Country Club Dr
Cameron Park, CA 95682-8633
Mailing address
3370 Country Club Dr
Cameron Park, CA 95682-8633
Phone (530) 350-7314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3370 County Club Dr
Cameron Park, CA 95682-8633
Phone (530) 350-7314
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-30805 | CA | MD | Rehabilitation Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Cameron Park, CA
- NPI 1811227218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1013157619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3370 COUNTRY CLUB DR",
"city": "CAMERON PARK",
"state": "CA",
"postal_code": "956828633",
"telephone_number": "530-350-7314",
"fax_number": "530-903-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3370 COUNTRY CLUB DR",
"city": "CAMERON PARK",
"state": "CA",
"postal_code": "956828633",
"telephone_number": "530-350-7314",
"fax_number": "530-903-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "BRANDON",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-23",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"deactivation_date": "2022-08-03",
"reactivation_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "DC-30805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cameron Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.