Active NPI
Brandon A Venden, D.C.
- Chiropractor
- Bossier City, LA
National Provider Identifier
1164799383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1625
- Practice address
- 1611 Jimmie Davis Hwy
Suite C
Bossier City, LA 71112-4556 - Phone
- (318) 752-1201
- Fax
- (318) 752-1203
- NPI assigned
- Nov 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1625 | LA | Primary |
| Nutrition Chiropractor | 111NN1001X | 1625 | LA |
Addresses
Primary practice location
1611 Jimmie Davis Hwy
Suite C
Bossier City, LA 71112-4556
Mailing address
1611 Jimmie Davis Hwy
Suite C
Bossier City, LA 71112-4556
Phone (318) 752-1201
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 |
|---|---|---|---|
| 1625 | LA | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O'Neal Chiropractic Health Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Bossier City, LA
- NPI 1518139005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1164799383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 JIMMIE DAVIS HWY",
"address_2": "SUITE C",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711124556",
"telephone_number": "318-752-1201",
"fax_number": "318-752-1203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 JIMMIE DAVIS HWY",
"address_2": "SUITE C",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711124556",
"telephone_number": "318-752-1201",
"fax_number": "318-752-1203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENDEN",
"first_name": "BRANDON",
"middle_name": "A",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-17",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1625",
"primary": true
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "LA",
"license": "1625",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.