Brandan Alan Anderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

697 Issued in ND

Practice address

4132 30TH Ave S Ste 102
Fargo, ND 58104-8407

Phone

(701) 241-7737

Fax

(701) 241-7738

NPI assigned

Jul 11, 2005

Last updated

Oct 4, 2007By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2001

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.

• Brandan Anderson LTD

  dba Anderson Family Chiropractic

  • Chiropractor
  • Fargo, ND
  • NPI 1578627329
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1154329589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 30TH AVE S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048407",
            "telephone_number": "701-241-7737",
            "fax_number": "701-241-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 30TH AVE S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048407",
            "telephone_number": "701-241-7737",
            "fax_number": "701-241-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRANDAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11729",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AND20256",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL HEALTH PARTNERS",
            "identifier": "623049",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Jean Anderson, RN
• Bethany Ann Anderson
• Bonnie Anderson, NP
• Brad C Anderson, DPM
• Bradley Jon Anderson, D.D.S
• Brandi J Anderson
• Brendan Anderson, PHARMD
• Brian D Anderson, LMSW
• Bridget L Anderson, DPT
• Brittany Sue Anderson, PT, DPT

• Chiropractor in Fargo, ND
• Providers in Fargo, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.