Individual provider Active NPI

Brandie Elizabeth Keates, DC

  • Chiropractor
  • Wayne, PA
National Provider Identifier
1033188362
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008904 Issued in PA
Practice address
992 Old Eagle School Rd
Suite 902
Wayne, PA 19087-1803
Phone
(610) 337-7463
Fax
(610) 337-9505
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC008904 PA Primary

Addresses

Primary practice location

992 Old Eagle School Rd
Suite 902
Wayne, PA 19087-1803

Mailing address

992 Old Eagle School Rd
Suite 902
Wayne, PA 19087-1803
Phone (610) 337-7463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000394 PA Practitioner - Chiropractic 2668432824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
King of Prussia Family Wellness Center, PCGroup PAC ID 2668407230, 3 clinicians

Practice addresses (Care Compare)

992 Old Eagle School Rd
Suite 902
Wayne, PA 19087-1803
Phone (610) 337-7463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC008904PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Sanctuary PLLC Chiropractor CurrentSince Dec 17, 2025 Accepting new patients
King of Prussia Family Wellness Center, PC Chiropractor CurrentSince Sep 1, 2003 Accepting new patients
Experience Chiropractic East, LLC Chiropractor Current Accepting new patients

Locations

136 W Lancaster Ave
Ste 2
Paoli, PA 19301
Phone (610) 822-0044

992 Old Eagle School Rd
Ste 902
Wayne, PA 19087
Phone (610) 337-7463

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1033188362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 OLD EAGLE SCHOOL RD",
            "address_2": "SUITE 902",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871803",
            "telephone_number": "610-337-7463",
            "fax_number": "610-337-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 OLD EAGLE SCHOOL RD",
            "address_2": "SUITE 902",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871803",
            "telephone_number": "610-337-7463",
            "fax_number": "610-337-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATES",
        "first_name": "BRANDIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.

Verify at the official NPI Registry.