Individual provider Active NPI

Brandon Scott Meseberg, D.C.

  • Chiropractor
  • Elkhorn, NE
National Provider Identifier
1306206214
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1882 Issued in NE
Practice address
20316 Wirt St
Elkhorn, NE 68022-2696
Phone
(816) 401-0389
NPI assigned
Mar 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1882 NE Primary
Chiropractor 111N00000X 2016004505 MO

Addresses

Primary practice location

20316 Wirt St
Elkhorn, NE 68022-2696

Mailing address

20316 Wirt St
Elkhorn, NE 68022-2696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160623001584 MO Practitioner - Chiropractic 8022309905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 Branch St
Suite B
Platte City, MO 64079-8386
Phone (816) 858-6006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016004505MOMDChiropractor
1882NEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jet Chiropractic LLC CurrentSince Jun 8, 2025 Accepting new patients
PC Muscle and Joint LLC CurrentSince Nov 21, 2023 Accepting new patients
Meseberg Chiropractic LLC Chiropractor Past Accepting new patients

Locations

1401 Branch St
#B
Platte City, MO 64079
Phone (816) 858-6006

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": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1306206214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20316 WIRT ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20316 WIRT ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222696",
            "telephone_number": "816-401-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESEBERG",
        "first_name": "BRANDON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1882",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016004505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.