Individual provider Active NPI

Brandon Travis Nevel, D.C.

  • Chiropractor
  • Jupiter, FL
National Provider Identifier
1174789432
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9605 Issued in FL
Practice address
401 Maplewood Dr
Unit 6
Jupiter, FL 33458-5849
Phone
(561) 575-2075
Fax
(561) 575-5232
NPI assigned
Aug 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9605 FL Primary

Addresses

Primary practice location

401 Maplewood Dr
Unit 6
Jupiter, FL 33458-5849

Mailing address

401 Maplewood Dr
Unit 6
Jupiter, FL 33458-5849
Phone (561) 575-2075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130327000446 FL Practitioner - Chiropractic 8224273016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 S US Hwy 1
Unit B4
Jupiter, FL 33477-5101

103S US Hwy 1 B4
Jupiter, FL 33477-5101
Phone (561) 406-6905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sport & Spinal Rehab LLC Chiropractor CurrentSince Oct 16, 2012 Accepting new patients
Sport & Spinal Rehab Chiropractor Current Accepting new patients

Locations

103 S US Highway 1
Ste B4
Jupiter, FL 33477
Phone (561) 406-6905

401 Maplewood Dr
Ste 6
Jupiter, FL 33458
Phone (561) 575-2075

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.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1174789432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MAPLEWOOD DR",
            "address_2": "UNIT 6",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585849",
            "telephone_number": "561-575-2075",
            "fax_number": "561-575-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MAPLEWOOD DR",
            "address_2": "UNIT 6",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585849",
            "telephone_number": "561-575-2075",
            "fax_number": "561-575-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVEL",
        "first_name": "BRANDON",
        "middle_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.