Brendan Wayne Potter, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8201 Issued in AZ

Practice address

2292 W Magee Rd
Tucson, AZ 85742-4301

Phone

(520) 797-2922

Fax

(520) 742-0732

NPI assigned

Jun 13, 2011

Last updated

Aug 11, 2016By 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

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Payson Chiropractic LLC

  • Chiropractor
  • Payson, AZ
  • NPI 1679112759
  Medicare reassignment Authorized official
• Mountain Chiropractic, LLC

  • Chiropractor
  • Payson, AZ
  • NPI 1932387511
  NPD

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1043505563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E BROWN RD",
            "address_2": "STE A1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852035135",
            "telephone_number": "480-322-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 W MAGEE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424301",
            "telephone_number": "520-797-2922",
            "fax_number": "520-742-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "BRENDAN",
        "middle_name": "WAYNE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelita Lynnette Poston Seitz, FNP-C
• Anil Potharaju, M.D
• Emmalyn Pothen, RN
• Megan Danielle Potilechio, DO
• Aaron Michael Potter, MD
• Carol A Potter
• Colin Potter
• Cynthia Potter, MA, LISAC, CSP, NCC
• Danielle Denise Potter, NP
• Elizabeth Hill Potter, MA NCSP

• Chiropractor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.