Brandon R McKenzie, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301011032 Issued in MI

Practice address

39949 Garfield Rd Ste B
Clinton Township, MI 48038-4301

Phone

(586) 286-1112

Fax

(586) 412-3673

NPI assigned

Mar 18, 2024

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brandon R McKenzie Professional name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brandon R McKenzie DC PLLC

  • Chiropractor
  • Clinton TWP, MI
  • NPI 1912729179
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1154180677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39949 GARFIELD RD STE B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384301",
            "telephone_number": "586-286-1112",
            "fax_number": "586-412-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39949 GARFIELD RD STE B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384301",
            "telephone_number": "586-286-1112",
            "fax_number": "586-412-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "BRANDON",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301011032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDON",
            "last_name": "MCKENZIE",
            "middle_name": "R",
            "credential": "DC, PLLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Julia E McGowen-Bienkowski, LPC
• Lisa McInnis, RN
• Carol Lee McKay, LBSW, MSA
• Judith McKenna, RN, NP
• Amy L McKenzie, MD
• Krysti McKenzie, OTR
• Kay McKnight
• McLaren Macomb
• McLaren Macomb
• McLaren Macomb

• Chiropractor in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Chiropractor in Michigan

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