Active NPI
Brandon Matthew Fitch, D.C.
- Chiropractor
- Bentonville, AR
National Provider Identifier
1013213271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15750
- Practice address
- 211 NE a St
Bentonville, AR 72712-5315 - Phone
- (479) 273-9715
- NPI assigned
- Feb 7, 2011
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15750 | AR | Primary |
Addresses
Primary practice location
211 NE a St
Bentonville, AR 72712-5315
Mailing address
211 NE a St
Bentonville, AR 72712-5315
Phone (479) 273-9715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
113 NW 2ND St
Bentonville, AR 72712-5232
3902 E Central Ave
Bentonville, AR 72712-3141
Phone (479) 273-9715
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15750 | AR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rice Chiropractic Clinic P.a. | Chiropractor | Past | Accepting new patients |
| Made to Move Physical Therapy LLC | Past | Accepting new patients |
Networks
- MS PPO D-SNP
- MS PPO
- TN PPO
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- TN PPO C-SNP
- MS PPO C-SNP
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
Organizations & group practices 3
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
- Bentonville, AR
- NPI 1639423056
-
- Physical Therapist
- Bentonville, AR
- NPI 1861208472
-
- Chiropractor
- Bentonville, AR
- NPI 1972792091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370217600000",
"number": "1013213271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 NE A ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727125315",
"telephone_number": "479-273-9715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 NE A ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727125315",
"telephone_number": "479-273-9715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITCH",
"first_name": "BRANDON",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-07",
"last_updated": "2013-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "15750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.