Brian Anderson, DC, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4679 Issued in KY

Legal business name

BRIAN ANDERSON, DC, LLC

Practice address

1941 Bishop LN
Suite 508
Louisville, KY 40218-1922

Phone

(502) 451-0484

Fax

(502) 451-0778

NPI assigned

Sep 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Brian David Anderson, D.C.

Title

Owner

Phone

(502) 451-0484

Specialties & licenses 1

Addresses

Other names 1

• Kentucky Injury Chiropractic & Rehabilitation, LLC Doing business as

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1164823399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 BISHOP LN",
            "address_2": "SUITE 508",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181922",
            "telephone_number": "502-451-0484",
            "fax_number": "502-451-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 BISHOP LN",
            "address_2": "SUITE 508",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181922",
            "telephone_number": "502-451-0484",
            "fax_number": "502-451-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN ANDERSON, DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-451-0484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentucky Injury Chiropractic & Rehabilitation, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlin Ann Brey, CRNA
• Jennifer M Brey, MD
• Juan M Breyer, MD
• Emily N Brezler
• Brian a. Marrillia DMD, PSC
• Brian J Vanderploeg, OD, PLLC
• Brian McLean, PLLC
• Brian S Yost, PLLC
• Brian T Przystawski, DPM, PCS
• Ann M Brian, PH.D.

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.