Individual provider Active NPI

Michele J.a. Brandenburger, DC

  • Chiropractor
  • Brookings, SD
National Provider Identifier
1316054604
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
SD916 Issued in SD
Practice address
1453 6TH St
Brookings, SD 57006-1604
Phone
(605) 692-6939
NPI assigned
Aug 24, 2006
Last updated
Aug 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X SD916 SD Primary

Addresses

Primary practice location

1453 6TH St
Brookings, SD 57006-1604

Mailing address

1834 Ranger Cir
Brookings, SD 57006-6612
Phone (605) 692-6939

Other identifiers 1

IdentifierTypeStateIssuer
7604563MedicaidSD

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

LicenseStateTypeSpecialty
SD916SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brandenburger Inc PC Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1316054604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 RANGER CIR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570066612",
            "telephone_number": "605-692-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 6TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061604",
            "telephone_number": "605-692-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDENBURGER",
        "first_name": "MICHELE",
        "middle_name": "J.A.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "SD916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7604563",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.