Organization Active NPI

Vital Chiropractic LLC

  • Chiropractor
  • O'Fallon, MO
National Provider Identifier
1316738974
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VITAL CHIROPRACTIC LLC
Doing business as
Vital Chiropractic LLC
Practice address
7118 South Outer Road 364
O'Fallon, MO 63368
Phone
(636) 339-1100
NPI assigned
May 14, 2025
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Dr. Brandon M Gabler, DCNPI 1184437816
Title
Chiropractor/Owner
Phone
(636) 697-7976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

7118 South Outer Road 364
O'Fallon, MO 63368

Mailing address

1 Amber Grain CT
O Fallon, MO 63368-8052
Phone (636) 339-1100

Other names 1

  • Vital Chiropractic LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250709002806 MO Part B Supplier - Clinic/Group Practice 4284148461 Receives reassigned benefits from 1 practitioner
Practice locations: O'Fallon, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1316738974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AMBER GRAIN CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688052",
            "telephone_number": "636-339-1100",
            "fax_number": "636-339-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7118 SOUTH OUTER ROAD 364",
            "city": "O'FALLON",
            "state": "MO",
            "postal_code": "63368",
            "telephone_number": "636-339-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "GABLER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "636-697-7976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Chiropractic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.