Individual provider Active NPI

Brandon M. Holmes, D.C.

  • Chiropractor
  • Walnut Creek, CA
National Provider Identifier
1275527384
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-29529 Issued in CA
Practice address
1280 Civic Dr
Suite 104
Walnut Creek, CA 94596-7233
Phone
(925) 938-1122
Fax
(925) 464-7826
NPI assigned
Sep 2, 2005
Reactivated
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-29529 CA Primary

Addresses

Primary practice location

1280 Civic Dr
Suite 104
Walnut Creek, CA 94596-7233

Mailing address

1280 Civic Dr
Suite 104
Walnut Creek, CA 94596-7233
Phone (925) 938-1122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041228000617 CA Practitioner - Chiropractic 3274591953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandon M. Holmes Chiropractic CorporationGroup PAC ID 3577750389, 2 clinicians

Practice addresses (Care Compare)

2121 Ygnacio Valley Rd
Suite F
Walnut Creek, CA 94598-3384
Phone (925) 938-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-29529CAMDChiropractor
29529CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon M Holmes Chiropractic Corporation Chiropractor CurrentSince Oct 1, 2010 Accepting new patients
The Back Doctors of Concord Chiropractor Past Accepting new patients

Locations

15520 Rockfield Blvd
Ste A200
Irvine, CA 92618

3100 Oak Rd
Ste 120
Walnut Creek, CA 94597
Phone (925) 938-1122

2121 Ygnacio Valley Rd
Ste F
Walnut Creek, CA 94598
Phone (925) 369-0122

1280 Civic Dr
Ste 104
Walnut Creek, CA 94596
Phone (925) 300-3302

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1275527384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 CIVIC DR",
            "address_2": "SUITE 104",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945967233",
            "telephone_number": "925-938-1122",
            "fax_number": "925-464-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 CIVIC DR",
            "address_2": "SUITE 104",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945967233",
            "telephone_number": "925-938-1122",
            "fax_number": "925-464-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "BRANDON",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2013-11-01",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-29529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.