Individual provider Active NPI

Brandon Scott Mills, D.C.

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1053514406
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3843 Issued in OK
Practice address
10801 S Western Ave Ste 400
Oklahoma City, OK 73170-6224
Phone
(405) 703-3033
Fax
(405) 735-9495
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3843 OK Primary

Addresses

Primary practice location

10801 S Western Ave Ste 400
Oklahoma City, OK 73170-6224

Mailing address

10801 S Western Ave Ste 400
Oklahoma City, OK 73170-6224
Phone (405) 703-3033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071121000226 OK Practitioner - Chiropractic 8921196148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10801 S Western Ave
Okc, OK 73170-6224
Phone (405) 703-3033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3843OKMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon Mills Chiropractic PLLC Chiropractor CurrentSince Aug 21, 2007 Accepting new patients
Elledge Chiropractic Clinic PLLC Chiropractor Past Accepting new patients

Locations

10801 S Western Ave
Oklahoma City, OK 73170

10403 S Pennsylvania Ave
Oklahoma City, OK 73159
Phone (405) 703-3033

10801 S Western Ave
Ste 400
Oklahoma City, OK 73170
Phone (405) 703-3033

Organizations & group practices 2

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1053514406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 S WESTERN AVE STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731706224",
            "telephone_number": "405-703-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 S WESTERN AVE STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731706224",
            "telephone_number": "405-703-3033",
            "fax_number": "405-735-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "BRANDON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.