Individual provider Active NPI

Brandi G Spencer, HAIR LOSS SPECIALIST

  • Prosthetics Case Management
  • Indianapolis, IN
National Provider Identifier
1215519632
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
BC21300617 Issued in IN
Practice address
5401 S East St Ste 107
Indianapolis, IN 46227-2076
Phone
(463) 224-7952
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X BC21300617 IN Primary

Addresses

Primary practice location

5401 S East St Ste 107
Indianapolis, IN 46227-2076

Mailing address

5401 S East St Ste 107
Indianapolis, IN 46227-2076
Phone (463) 224-7952

Other names 1

  • Brandi G Spencer Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bdavis@bdavishaircare.com Direct

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

LicenseStateTypeSpecialty
BC21300617INMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
The B. Davis Hair Care Salon Inc CurrentSince Dec 5, 2021 Accepting new patients

Locations

5401 S East St
Ste 107
Indianapolis, IN 46227
Phone (463) 224-7952

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.

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1215519632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 S EAST ST STE 107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272076",
            "telephone_number": "463-224-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S EAST ST STE 107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272076",
            "telephone_number": "463-224-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "BRANDI",
        "middle_name": "G",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "IN",
            "license": "BC21300617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdavis@bdavishaircare.com",
            "affiliation": "N",
            "endpointDescription": "email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5401 S East St Ste 107",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462272076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "SPENCER",
            "middle_name": "G",
            "credential": "CERTIFIED HAIR LOSS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.