Individual provider Active NPI

Brandon Anthony Czekaj, D.C.

  • Chiropractor
  • Centreville, VA
National Provider Identifier
1235461062
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556840 Issued in VA
Practice address
5675 Stone Rd Ste 220
Centreville, VA 20120-1667
Phone
(703) 815-0700
Fax
(703) 815-0701
NPI assigned
Feb 3, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03639 MD
Chiropractor 111N00000X 0104556840 VA Primary

Addresses

Primary practice location

5675 Stone Rd Ste 220
Centreville, VA 20120-1667

Mailing address

5675 Stone Rd Ste 220
Centreville, VA 20120-1667
Phone (703) 815-0700

Other practice location 1

4300 King St
Suite 130
Alexandria, VA 22302-1503
Phone (703) 879-5144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110523000639 DC Practitioner - Chiropractic 1951435700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5675 Stone Rd
Suite 220a
Centreville, VA 20120-1667
Phone (703) 877-0787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
03639MDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Rehab Chiropractic, LLC Chiropractor CurrentSince Nov 7, 2019 Accepting new patients
Healthchoice of Marietta Chiropractor PastSince Mar 5, 2010 Accepting new patients
Skyline Wellness Center Chiropractor PastSince Oct 1, 2017 Accepting new patients

Locations

5675 Stone Rd
Ste 220
Centreville, VA 20120
Phone (703) 282-1192

5675 Stone Rd
Ste 220A
Centreville, VA 20120
Phone (703) 877-0787

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235461062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 STONE RD STE 220",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201667",
            "telephone_number": "703-815-0700",
            "fax_number": "703-815-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 STONE RD STE 220",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201667",
            "telephone_number": "703-815-0700",
            "fax_number": "703-815-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 King St",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223021503",
            "country_code": "US",
            "telephone_number": "703-879-5144",
            "fax_number": "703-879-5860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZEKAJ",
        "first_name": "BRANDON",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03639",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.