Organization Active NPI

Brandenburger Inc PC

Doing business as Back In Motion Chiropractic

  • Chiropractor
  • Brookings, SD
National Provider Identifier
1083820187
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
SD915 Issued in SD
Legal business name
BRANDENBURGER INC PC
Doing business as
Back In Motion Chiropractic
Practice address
1453 6TH St
Brookings, SD 57006-1604
Phone
(605) 692-6939
NPI assigned
May 15, 2007
Last updated
Aug 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Dr. Michele Brandenburger, DCNPI 1316054604
Title
VP
Phone
(605) 692-6939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X SD915 SD Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 1

  • Back In Motion Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

501 Bloemendaal Dr
Dba Activecare Chripractic
Ipswich, SD 57451
Phone (605) 426-6063

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1083820187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 RANGER CIR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570066612",
            "telephone_number": "605-692-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 6TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061604",
            "telephone_number": "605-692-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDENBURGER INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANDENBURGER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "605-692-6939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "SD915",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "SD916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back In Motion Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.

Verify at the official NPI Registry.