Andrea L Brisson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301006167 Issued in MI

Practice address

2302 Packard Rd
Ypsilanti, MI 48197

Phone

(734) 434-9835

Fax

(734) 434-9836

NPI assigned

Apr 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Andrea Galley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Tree Chiropractic

  • Chiropractor
  • Ypsilanti, MI
  • NPI 1992109672
  NPD (past)
• Lifeforce Chiropractic Center

  • Clinic/Center
  • Ypsilanti, MI
  • NPI 1093267627
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1114981099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 PACKARD RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "734-434-9835",
            "fax_number": "734-434-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 PACKARD RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "734-434-9835",
            "fax_number": "734-434-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISSON",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143263159",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "GALLEY",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Sarah Brister
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• Jamie Lee Marie Brito, M.S. LLPC
• Lydia Jordan Brock, DO
• Isaiah Brockschmidt

• Chiropractor in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.