Active NPI
Brandon Michael Longden, DC
- Chiropractor
- Rogers, AR
National Provider Identifier
1083432009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12416
- Practice address
- 302 N 8TH St Ste 1
Rogers, AR 72756-3721 - Phone
- (479) 621-9006
- NPI assigned
- Sep 30, 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 | 12416 | AR | Primary |
Addresses
Primary practice location
302 N 8TH St Ste 1
Rogers, AR 72756-3721
Mailing address
302 N 8TH St Ste 1
Rogers, AR 72756-3721
Phone (479) 621-9006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12416 | AR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1083432009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 N 8TH ST STE 1",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563721",
"telephone_number": "479-621-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 N 8TH ST STE 1",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563721",
"telephone_number": "479-621-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGDEN",
"first_name": "BRANDON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-30",
"last_updated": "2024-09-30",
"certification_date": "2024-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "12416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.