Active NPI
Brandon Levenick, D.C.
- Chiropractor
- Palm City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12090
- Practice address
- 3543 SW Corporate Pkwy
Palm City, FL 34990-8151 - Phone
- (772) 232-4091
- NPI assigned
- Feb 20, 2017
- Last updated
- Aug 10, 2021
- Sex
- Male
- Sole proprietor
- No
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 | CH12090 | FL | Primary |
Addresses
Primary practice location
3543 SW Corporate Pkwy
Palm City, FL 34990-8151
Mailing address
931 SW Romaine LN
Port Saint Lucie, FL 34953-3605
Phone (248) 207-0176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
434 NW Lake Whitney PL
Port Saint Lucie, FL 34986-2269
Phone (772) 232-4091
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12090 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Wellness Chiropractic PA | Chiropractor | Current | Accepting new patients |
Locations
3543 SW Corporate Pkwy
Palm City, FL 34990
Phone (772) 221-8893
434 NW Lake Whitney Pl
Port St Lucie, FL 34986
Phone (772) 232-4091
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1013456359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 SW ROMAINE LN",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349533605",
"telephone_number": "248-207-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3543 SW CORPORATE PKWY",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349908151",
"telephone_number": "772-232-4091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVENICK",
"first_name": "BRANDON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-20",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.