Randall Israel Newton Sprague, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

CH10170 Issued in FL

Practice address

166. E. Bloomingdale Ave.
Suite B
Brandon, FL 33511

Phone

(813) 654-7121

Fax

(813) 200-3986

NPI assigned

Jan 21, 2011

Last updated

Jan 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Brandon Back Pain Relief Chiropractic, LLC

  • Chiropractor
  • Brandon, FL
  • NPI 1396035655

  Orthopedic

  NPD (past)
• Stewart Chiropractic & Wellness, LLC

  • Chiropractor
  • Valrico, FL
  • NPI 1518422468
  NPD (past)

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1033414180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 E. BLOOMINGDALE AVE.",
            "address_2": "SUITE B",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-654-7121",
            "fax_number": "813-200-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166. E. BLOOMINGDALE AVE.",
            "address_2": "SUITE B",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-654-7121",
            "fax_number": "813-200-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "RANDALL",
        "middle_name": "ISRAEL NEWTON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "FL",
            "license": "CH10170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spinemed East Hillsborough, Inc (Precision Physical Therapy)
• Lisa Marie Spitaleri
• Joscelyn Spivey
• Sports and Orthopedic Rehabilitation Services Inc (Select Physical Therapy)
• Sports and Orthopedic Rehabilitation Services Inc
• Raun Spranger
• Sara Spratt
• Spring of Light Homes LLC (Spring of Light Homes)
• Sri of Brandon MC, LLC (Superior Residences of Brandon)
• St. Jude Medical & Aesthetic Care Center, LLC (St. Jude Medical Center & Aesthetic Care)

• Orthopedic Chiropractor in Brandon, FL
• Providers in Brandon, FL by specialty
• Orthopedic Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.