Individual provider Active NPI

Brandon D Hall, D.C.

  • Sports Physician Chiropractor
  • Loveland, CO
National Provider Identifier
1073552659
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
4991 Issued in CO
Practice address
3025 N Taft Ave
Suite C
Loveland, CO 80538-8310
Phone
(970) 663-3600
Fax
(970) 663-7674
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 4991 CO Primary

Addresses

Primary practice location

3025 N Taft Ave
Suite C
Loveland, CO 80538-8310

Mailing address

3025 N Taft Ave
Suite C
Loveland, CO 80538-8310
Phone (970) 663-3600

Other identifiers 1

IdentifierTypeStateIssuer
C522118OtherCOMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412001282 CO Practitioner - Chiropractic 6800880972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3025 Taft Ave
Suite C
Loveland, CO 80538-8310
Phone (970) 663-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4991COMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hall Chiropractic, P.C. Sports Physician CurrentSince Jan 1, 2004 Accepting new patients
Loveland Chiropractic Office PC CurrentSince Jan 2, 2009 Accepting new patients

Locations

2245 W Eisenhower Blvd
Loveland, CO 80537
Phone (970) 663-3600

3025 Taft Ave
Ste C
Loveland, CO 80538
Phone (970) 663-3600

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1073552659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 N TAFT AVE",
            "address_2": "SUITE C",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388310",
            "telephone_number": "970-663-3600",
            "fax_number": "970-663-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 N TAFT AVE",
            "address_2": "SUITE C",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388310",
            "telephone_number": "970-663-3600",
            "fax_number": "970-663-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "BRANDON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "4991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C522118",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.