Individual provider Active NPI

Brandon Scott Fuzi, D.C.

  • Chiropractor
  • Blue Ridge, GA
National Provider Identifier
1104002591
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008129 Issued in 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
Last updated
Jul 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008129 GA Primary

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

Medicare participation

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

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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 CenterGroup PAC ID 2062662331, 2 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Chiropractic and Life Center Chiropractor CurrentSince Aug 10, 2012 Accepting new patients
Family Life Chiropractic Center Chiropractor PastSince 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1104002591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W FAIN ST",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134451",
            "telephone_number": "706-946-1215",
            "fax_number": "706-946-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W FAIN ST",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134451",
            "telephone_number": "706-946-1215",
            "fax_number": "706-946-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUZI",
        "first_name": "BRANDON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.