Individual provider Active NPI

Brandon Joseph Suchey, DC

  • Chiropractor
  • Grayling, MI
National Provider Identifier
1184926412
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009612 Issued in MI
Practice address
122 E Michigan Ave # 707
Grayling, MI 49738-1741
Phone
(989) 348-4560
Fax
(989) 348-1663
NPI assigned
Nov 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009612 MI Primary

Addresses

Primary practice location

122 E Michigan Ave # 707
Grayling, MI 49738-1741

Mailing address

PO Box 707
Grayling, MI 49738-0707
Phone (989) 348-4560

Other practice location 1

114 E Michigan Ave
Grayling, MI 49738-1741
Phone (989) 348-4560

Other identifiers 2

IdentifierTypeStateIssuer
4151596MedicaidMI
0B00032OtherMIBLUE CROSS BLUE SHIELD GROUP PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101223000133 MI Practitioner - Chiropractic 8022206689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suchey Chiropractic PLLCGroup PAC ID 5890918346, 2 clinicians

Practice addresses (Care Compare)

1406 S I 75 Business Loop
Grayling, MI 49738-2022
Phone (906) 203-0762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Suchey Chiropractic P.L.L.C Chiropractor CurrentSince Jun 2, 2014 Accepting new patients
Active Chiropractic Clinic PC Chiropractor Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drbrandon@scp0017.direct.chirotouch.md

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": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1184926412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497380707",
            "telephone_number": "989-348-4560",
            "fax_number": "989-348-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E MICHIGAN AVE # 707",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497381741",
            "telephone_number": "989-348-4560",
            "fax_number": "989-348-1663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497381741",
            "country_code": "US",
            "telephone_number": "989-348-4560",
            "fax_number": "989-348-1663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUCHEY",
        "first_name": "BRANDON",
        "middle_name": "JOSEPH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-18",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4151596",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GROUP PIN",
            "identifier": "0B00032",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayling, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.