Active NPI
Brandon W Grimm, D.C.
- Chiropractor
- San Antonio, TX
National Provider Identifier
1033146170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9268
- Practice address
- 2235 Thousand Oaks Dr Ste 111
San Antonio, TX 78232-3967 - Phone
- (210) 490-3555
- NPI assigned
- Jun 26, 2006
- 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 | 9268 | TX | Primary |
Addresses
Primary practice location
2235 Thousand Oaks Dr Ste 111
San Antonio, TX 78232-3967
Mailing address
2235 Thousand Oaks Dr Ste 111
San Antonio, TX 78232-3967
Phone (210) 490-3555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8U9450 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1205 N Loop 1604
Suite 211
San Antonio, TX 78258-4627
Phone (210) 764-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9268 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golabs CB&J Relief PLLC | Chiropractor | Current | Accepting new patients |
| Dr. Golab'S Chiropractic & Wellness PA | Chiropractor | Current | Accepting new patients |
| E R Chiropractic PC | Chiropractor | Past | Accepting new patients |
| Dudycha Chiropractic | Past | Accepting new patients | |
| Brandon Grimm D.C. P.a. | Chiropractor | Past | Accepting new patients |
Locations
1205 N Loop 1604 W
Ste 211
San Antonio, TX 78258
Phone (210) 764-8888
1205 N Loop 1604 W
San Antonio, TX 78258
Phone (210) 319-2900
Organizations & group practices 5
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
- San Antonio, TX
- NPI 1831210921
-
- Chiropractor
- Canyon Lake, TX
- NPI 1619059060
-
- Rehabilitation Chiropractor
- Canyon Lake, TX
- NPI 1588853071
-
- Chiropractor
- San Antonio, TX
- NPI 1811019177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033146170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 THOUSAND OAKS DR STE 111",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323967",
"telephone_number": "210-490-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 THOUSAND OAKS DR STE 111",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323967",
"telephone_number": "210-490-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMM",
"first_name": "BRANDON",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8U9450",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.