Gary Brandon Severson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33250 Issued in CA

Practice address

41785 Nicole LN Ste A7
Temecula, CA 92591-3874

Phone

(951) 249-3369

Fax

(951) 374-1607

NPI assigned

Jun 1, 2016

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1134577034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41785 NICOLE LN STE A7",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913874",
            "telephone_number": "951-249-3369",
            "fax_number": "951-374-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41785 NICOLE LN STE A7",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913874",
            "telephone_number": "951-249-3369",
            "fax_number": "951-374-1607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32246 Clinton Keith Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Wildomar",
            "state": "CA",
            "postal_code": "925957320",
            "country_code": "US",
            "telephone_number": "952-678-9063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "GARY",
        "middle_name": "BRANDON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole Sevilla
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• Annupama Gaikar Seymour
• Tara Seymour

• Chiropractor in Temecula, CA
• Providers in Temecula, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.