Cramer Chiropractic, P.C.
Organization Active NPI Chiropractor · Grimes, IA
NPI 1376943902 · NPPES record last updated Sep 2, 2014
Key facts
- NPI
- 1376943902
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 072765 (IA)
- Legal business name
- CRAMER CHIROPRACTIC, P.C.
- Practice address
- 200 SE Gateway Dr Ste 103
Grimes, IA 50111-2182 - Phone
- (515) 986-4003
- Fax
- (515) 986-4014
- NPI assigned
- Sep 2, 2014
- Organization subpart
- No
Authorized official
- Name
- Brandon Travis Cramer
- Title
- Owner
- Phone
- (515) 986-4003
Practitioners 1
-
Brandon Travis Cramer, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141001002508 | IA | Part B Supplier - Clinic/Group Practice | 4082834635 |
Receives reassigned benefits from 1 practitioner Practice locations: Clarion, IA |
National Provider Directory
Locations
1123 Central Ave E
Clarion, IA 50525
Phone (515) 532-0104
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 072765 | IA | Yes |
Addresses
Primary practice location
200 SE Gateway Dr Ste 103
Grimes, IA 50111-2182
Mailing address
200 SE Gateway Dr Ste 103
Grimes, IA 50111-2182
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IB2570 | Other | IA | PTAN |
Other providers in Grimes, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.