Watson David Floyd Fondren, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2773 Issued in AL

Practice address

1126 Walnut St
Centreville, AL 35042-2811

Phone

(205) 928-3331

NPI assigned

Oct 26, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Peak Performance Chiropractic LLC

  dba Hometown Chiropractic

  • Chiropractor
  • Centreville, AL
  • NPI 1447042981
  Medicare reassignment NPD Authorized official
• Norris Chiropractic LLC

  • Chiropractor
  • Brent, AL
  • NPI 1801233556
  Medicare reassignment NPD

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1073230405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 WALNUT ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422811",
            "telephone_number": "205-861-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 WALNUT ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422811",
            "telephone_number": "205-928-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDREN",
        "first_name": "WATSON",
        "middle_name": "DAVID FLOYD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-26",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALABAMA CHIROPRACTIC LICENSE",
            "identifier": "2773",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Elledge, CRNP
• Sydney Ellison, DO
• Julia Cecile Fibbe
• Danielle Effre Fillingame, LPC
• Jacqueline Dawn Fochtmann, RN
• Amelia Foster, R.D.
• Meredith Schuckert Fowler
• Kiandrea Futrell, LICSW
• Lena Jeanelle Gamble, MD, PHD
• Kayla Glass, FNP-C

• Chiropractor in Centreville, AL
• Providers in Centreville, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.