Kory Branham, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

165995-1202 Issued in UT

Practice address

715 E 3900 S
Suite 108
Salt Lake City, UT 84107-2182

Phone

(801) 268-8090

Fax

(801) 268-8097

NPI assigned

Nov 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Kab Inc

  • Chiropractor
  • Salt Lake City, UT
  • NPI 1689864605
  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1124208186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E 3900 S",
            "address_2": "SUITE 108",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072182",
            "telephone_number": "801-268-8090",
            "fax_number": "801-268-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E 3900 S",
            "address_2": "SUITE 108",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072182",
            "telephone_number": "801-268-8090",
            "fax_number": "801-268-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "KORY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "165995-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Brandi, LCSW
• Hutton W Brandon
• Shaida Talebreza Brandon, M.D.
• Zoe Yurchuck Brandon, PT, DPT
• Sophia Marie Braner
• Alison M. Brann, MD
• David B. Branson, MD
• William O. Brant, M.D.
• Jade Brantley
• Navdeep Singh Brar, DC

• Chiropractor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.