Active NPI
Brandon McLane, DC
- Chiropractor
- Enfield, CT
National Provider Identifier
1134895154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 002189
- Practice address
- 137 Hazard Ave
Enfield, CT 06082-5425 - Phone
- (860) 331-8812
- Fax
- (860) 432-8669
- NPI assigned
- Aug 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 002189 | CT | Primary |
Addresses
Primary practice location
137 Hazard Ave
Enfield, CT 06082-5425
Mailing address
PO Box 1153
Enfield, CT 06083-1153
Phone (860) 331-8812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002189 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Premier Physical Medicine LLC | Current | Accepting new patients | |
| Modern Chiropractic of Newington LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Physical Medicine & Rehabilitation Physician
- Hartford, CT
- NPI 1457118721
-
- Chiropractor
- Newington, CT
- NPI 1942700364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1134895154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1153",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060831153",
"telephone_number": "860-331-8812",
"fax_number": "860-432-8669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 HAZARD AVE",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060825425",
"telephone_number": "860-331-8812",
"fax_number": "860-432-8669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLANE",
"first_name": "BRANDON",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-19",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "002189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.