Individual provider Active NPI

Brandon Orsino, DC

  • Chiropractor
  • Winter Park, FL
National Provider Identifier
1356903363
Registry record updated Aug 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12859 Issued in FL
Practice address
4063 N Goldenrod Rd Ste 1
Winter Park, FL 32792-8905
Phone
(321) 972-2008
NPI assigned
Jul 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12859 FL Primary

Addresses

Primary practice location

4063 N Goldenrod Rd Ste 1
Winter Park, FL 32792-8905

Mailing address

4063 N Goldenrod Rd Ste 1
Winter Park, FL 32792-8905
Phone (321) 972-2008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191118001183 FL Practitioner - Chiropractic 6002248838 Practice locations: Orlando, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565481600000",
    "number": "1356903363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4063 N GOLDENROD RD STE 1",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928905",
            "telephone_number": "321-972-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 N GOLDENROD RD STE 1",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928905",
            "telephone_number": "321-972-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORSINO",
        "first_name": "BRANDON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; 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.