Active NPI
Brandon Lee Boothe, D.C.
- Sports Physician Chiropractor
- Scottsdale, AZ
National Provider Identifier
1275878308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 32126
- Practice address
- 7645 E Evans Rd Ste 140
Scottsdale, AZ 85260-3492 - Phone
- (408) 598-6219
- NPI assigned
- Nov 29, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 32126 | CA | Primary |
Addresses
Primary practice location
7645 E Evans Rd Ste 140
Scottsdale, AZ 85260-3492
Mailing address
7645 E Evans Rd Ste 140
Scottsdale, AZ 85260-3492
Phone (408) 598-6219
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32126 | CA | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384473600000",
"number": "1275878308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7645 E EVANS RD STE 140",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603492",
"telephone_number": "408-598-6219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7645 E EVANS RD STE 140",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603492",
"telephone_number": "408-598-6219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTHE",
"first_name": "BRANDON",
"middle_name": "LEE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-29",
"last_updated": "2013-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "32126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.