Individual provider Active NPI

Brandon Edward Hard, D.C.

  • Chiropractor
  • Douglasville, GA
National Provider Identifier
1306204110
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009648 Issued in GA
Practice address
3680 Kings Hwy
Douglasville, GA 30135-3336
Phone
(678) 838-4433
Fax
(678) 838-4093
NPI assigned
Feb 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 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 CHIR009648 GA Primary

Addresses

Primary practice location

3680 Kings Hwy
Douglasville, GA 30135-3336

Mailing address

6401 Dorsett Bridge Rd
Douglasville, GA 30135-6017
Phone (678) 838-4433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190726002863 GA Practitioner - Chiropractic 5799011896 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Chiropractic Inc Chiropractor CurrentSince Apr 2, 2019 Accepting new patients
Pza Inc. Dba Ackerson Chiropractic Center Chiropractor PastSince Jun 1, 2019 Accepting new patients
Lighthouse Family Chiropractic, P.C. Chiropractor Past Accepting new patients

Locations

2594 Highway 34 E
#A
Newnan, GA 30265
Phone (770) 502-0091

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1306204110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 DORSETT BRIDGE RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301356017",
            "telephone_number": "678-838-4433",
            "fax_number": "678-838-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 KINGS HWY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353336",
            "telephone_number": "678-838-4433",
            "fax_number": "678-838-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARD",
        "first_name": "BRANDON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.