Individual provider Active NPI

Brandon Robert Burkley, D.C.

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1063451128
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4738 Issued in NC
Practice address
8340 Bandford Way Ste 109
Raleigh, NC 27615-2755
Phone
(919) 845-0200
Fax
(919) 845-0204
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4738 NC Primary

Addresses

Primary practice location

8340 Bandford Way Ste 109
Raleigh, NC 27615-2755

Mailing address

8340 Bandford Way Ste 109
Raleigh, NC 27615-2755
Phone (919) 845-0200

Other practice location 1

7592 N Broadway
Red Hook, NY 12571-1458
Phone (845) 758-4218

Other practice location 2

1008 Big Oak Ct Ste A
Knightdale, NC 27545-6566
Phone (919) 266-6416

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171023001978 NC Practitioner - Chiropractic 2961638119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Spine and Injury PCGroup PAC ID 2062881030, 2 clinicians

Practice addresses (Care Compare)

1008 Big Oak CT
Suite a
Knightdale, NC 27545-6566
Phone (919) 266-6416

8340 Bandford Way
Suite 109
Raleigh, NC 27615-2755
Phone (919) 845-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4738NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Spine and Injury PC Chiropractor CurrentSince Nov 17, 2022 Accepting new patients
Raleigh Spine and Trauma Chiropractor CurrentSince Aug 8, 2017 Accepting new patients
Miriam Kanter MD PC Past Accepting new patients

Locations

1008 Big Oak Ct
Ste A
Knightdale, NC 27545
Phone (919) 266-6416

8340 Bandford Way
Ste 109
Raleigh, NC 27615
Phone (919) 844-6560

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1063451128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 BANDFORD WAY STE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152755",
            "telephone_number": "919-845-0200",
            "fax_number": "919-845-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 BANDFORD WAY STE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152755",
            "telephone_number": "919-845-0200",
            "fax_number": "919-845-0204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7592 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Red Hook",
            "state": "NY",
            "postal_code": "125711458",
            "country_code": "US",
            "telephone_number": "845-758-4218",
            "fax_number": "845-758-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 Big Oak Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Knightdale",
            "state": "NC",
            "postal_code": "275456566",
            "country_code": "US",
            "telephone_number": "919-266-6416",
            "fax_number": "919-266-2128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKLEY",
        "first_name": "BRANDON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.