Brandenburger Inc PC
Organization Active NPI Chiropractor · Brookings, SD
NPI 1083820187 · NPPES record last updated Aug 22, 2008
Key facts
- NPI
- 1083820187
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- SD915 (SD)
- Legal business name
- BRANDENBURGER INC PC
- Practice address
- 1453 6TH St
Brookings, SD 57006-1604 - Phone
- (605) 692-6939
- NPI assigned
- May 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Michele Brandenburger, DC
- Title
- VP
- Phone
- (605) 692-6939
Practitioners 6
-
Robert Ashly Froke, M.A., CCC-A, FAAA
-
Jessica Ann Graham, D.C.
-
Rebecca Ann Studelska, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209000426 | SD | Part B Supplier - Clinic/Group Practice | 0840184263 |
Receives reassigned benefits from 1 practitioner Practice locations: Brookings, SD; New Effington, SD |
National Provider Directory
Locations
501 Bloemendaal Dr
Dba Activecare Chripractic
Ipswich, SD 57451
Phone (605) 426-6063
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | SD915 | SD | Yes |
| Chiropractor |
111N00000X | SD916 | SD |
Addresses
Primary practice location
1453 6TH St
Brookings, SD 57006-1604
Mailing address
1834 Ranger Cir
Brookings, SD 57006-6612
Phone (605) 692-6939
Other names
- Back In Motion Chiropractic
Other providers in Brookings, SD
- Peyton Boll
- Travis Bolstad
- Jim M Booher
- Kelsey Borchard
- Bradley Jordan DDS, PLLC
- Michele J.a. Brandenburger
- Rodney William Brandenburger
- Kassie Breitkreutz
- Hande Briddick
- Heidi Michelle Briseno
All providers in Brookings, SD · Chiropractor in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.