Brandon Scott Fuzi, D.C.

Individual provider Active NPI Chiropractor · Blue Ridge, GA

NPI 1104002591 · NPPES record last updated Jul 24, 2012

Key facts

NPI
1104002591
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
CHIR008129 (GA)
Practice address
5 W Fain St
Blue Ridge, GA 30513-4451
Phone
(706) 946-1215
Fax
(706) 946-1216
NPI assigned
Jan 15, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Chiropractic and Life Center (2 clinicians)

Practice addresses (Care Compare)

5 W Fain St
Blue Ridge, GA 30513-4451
Phone (706) 946-1215

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20101013000893 GA Practitioner - Chiropractic 6406048198 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Chiropractic and Life Center Chiropractor Current
since Aug 10, 2012
Accepting new patients
Family Life Chiropractic Center Chiropractor Past
since Aug 2, 2012
Accepting new patients
Family Life Chiropractic Center III Chiropractor Past Accepting new patients

Locations

5 W Fain St
Blue Ridge, GA 30513
Phone (706) 946-1215

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008129 GA Yes

Addresses

Primary practice location

5 W Fain St
Blue Ridge, GA 30513-4451

Mailing address

5 W Fain St
Blue Ridge, GA 30513-4451
Phone (706) 946-1215

Other providers in Blue Ridge, GA

All providers in Blue Ridge, GA · Chiropractor in Georgia

Sources for this page

Verify at the official NPI Registry.