Active NPI
Brandi Leverenz
- Chiropractor
- Port Huron, MI
National Provider Identifier
1194732784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008500
- Practice address
- 2915 Lapeer Rd
Port Huron, MI 48060-2558 - Phone
- (810) 985-0084
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301008500 | MI | Primary |
Addresses
Primary practice location
2915 Lapeer Rd
Port Huron, MI 48060-2558
Mailing address
2915 Lapeer Rd
Port Huron, MI 48060-2558
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383694572 | Other | MI | TAX ID |
| 4410052 | Medicaid | MI |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1194732784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2915 LAPEER RD",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480602558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2915 LAPEER RD",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480602558",
"telephone_number": "810-985-0084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVERENZ",
"first_name": "BRANDI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "383694572",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4410052",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.