Individual provider Active NPI

Brandon Larabee, D.C.

  • Chiropractor
  • Traverse City, MI
National Provider Identifier
1225499429
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
M061739 Issued in MI
Practice address
1001 Bay St
Suite C
Traverse City, MI 49684-1449
Phone
(231) 690-7452
NPI assigned
Mar 15, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X M061739 MI Primary

Addresses

Primary practice location

1001 Bay St
Suite C
Traverse City, MI 49684-1449

Mailing address

1001 Bay St
Suite C
Traverse City, MI 49684-1449
Phone (231) 690-7452

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160322001566 MI Practitioner - Chiropractic 9739486531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

954 Business Park Dr
Suite 1
Traverse City, MI 49686-8763
Phone (231) 252-4249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M061739MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Discover Health Chiropractic Center PC Chiropractor CurrentSince Mar 11, 2024 Accepting new patients
Structure and Function Chiropractic and Rehab PLC Chiropractor CurrentSince May 1, 2025 Accepting new patients
Pathways Chiropractic and Wellness PLLC Chiropractor CurrentSince Apr 23, 2024 Accepting new patients

Locations

120 Boardman Ave
Ste A
Traverse City, MI 49684
Phone (231) 421-3698

2781 Garfield Rd N
Traverse City, MI 49686
Phone (231) 933-0100

954 Business Park Dr
Ste 1
Traverse City, MI 49686
Phone (231) 252-4249

Organizations & group practices 3

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": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1225499429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BAY ST",
            "address_2": "SUITE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496841449",
            "telephone_number": "231-690-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BAY ST",
            "address_2": "SUITE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496841449",
            "telephone_number": "231-690-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARABEE",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "M061739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.