Individual provider Active NPI

Brandt Kyle Blixt, DC

  • Chiropractor
  • Junction City, KS
National Provider Identifier
1104675487
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06336 Issued in KS
Practice address
1206 W 8TH St
Junction City, KS 66441-2038
Phone
(785) 762-6269
NPI assigned
May 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06336 KS Primary

Addresses

Primary practice location

1206 W 8TH St
Junction City, KS 66441-2038

Mailing address

1206 W 8TH St
Junction City, KS 66441-2038
Phone (785) 762-6269

Other practice location 1

311 Houston St
Manhattan, KS 66502-6171
Phone (785) 775-5555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240529001569 KS Practitioner - Chiropractic 0547602062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keating Chiropractic PAGroup PAC ID 0042408346, 5 clinicians

Practice addresses (Care Compare)

1206 W 8TH St
Junction City, KS 66441-2038
Phone (785) 762-6269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keating Chiropractic PA Chiropractor CurrentSince May 28, 2024 Accepting new patients
John M Wertin D C P a Chiropractor PastSince May 19, 2024 Accepting new patients

Locations

1206 W 8th St
Junction City, KS 66441
Phone (785) 762-6269

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1104675487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W 8TH ST",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664412038",
            "telephone_number": "785-762-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W 8TH ST",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664412038",
            "telephone_number": "785-762-6269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Houston St",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665026171",
            "country_code": "US",
            "telephone_number": "785-775-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLIXT",
        "first_name": "BRANDT",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.