Active NPI
Brandon J Smith, D.C.
- Chiropractor
- New Brighton, PA
National Provider Identifier
1063721256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010302
- Practice address
- 440 Constitution Blvd
New Brighton, PA 15066-3107 - Phone
- (724) 888-6853
- Fax
- (724) 293-0040
- NPI assigned
- Oct 5, 2010
- Last updated
- May 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010302 | PA | Primary |
Addresses
Primary practice location
440 Constitution Blvd
New Brighton, PA 15066-3107
Mailing address
440 Constitution Blvd
New Brighton, PA 15066-3107
Phone (724) 888-6853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240625001980 | PA | Practitioner - Chiropractic | 3870808421 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC010302 | PA | MD | Chiropractor |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1063721256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 CONSTITUTION BLVD",
"city": "NEW BRIGHTON",
"state": "PA",
"postal_code": "150663107",
"telephone_number": "724-888-6853",
"fax_number": "724-293-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 CONSTITUTION BLVD",
"city": "NEW BRIGHTON",
"state": "PA",
"postal_code": "150663107",
"telephone_number": "724-888-6853",
"fax_number": "724-293-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRANDON",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-05",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brighton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.