Active NPI
Brandon Matthew Osmon, D.C.
- Chiropractor
- Bloomington, IN
National Provider Identifier
1306034590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002357A
- Practice address
- 1332 W Arch Haven Ave Ste C
Bloomington, IN 47403-2078 - Phone
- (812) 272-3700
- NPI assigned
- Oct 12, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002357A | IN | Primary |
Addresses
Primary practice location
1332 W Arch Haven Ave Ste C
Bloomington, IN 47403-2078
Mailing address
843 W Graham LN
Washington, IN 47501-7865
Phone (812) 272-3700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002357A | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1306034590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 W GRAHAM LN",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475017865",
"telephone_number": "812-272-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 W ARCH HAVEN AVE STE C",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032078",
"telephone_number": "812-272-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSMON",
"first_name": "BRANDON",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-12",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002357A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.