Champion Wellness Centers, Fishhawk, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHAMPION WELLNESS CENTERS, FISHHAWK, LLC

Doing business as

Brandon Spine and Injury

Practice address

908 Lithia Pinecrest Rd
Brandon, FL 33511-6121

Phone

(813) 409-3304

NPI assigned

Apr 17, 2019

Organization subpart

No

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

Authorized official

Name

Kyle Thomas MullanNPI 1144855891

Title

Chiropractor

Phone

(813) 409-3304

Specialties & licenses 1

Addresses

Other names 1

• Brandon Spine and Injury Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Thomas Mullan, DC

  • Chiropractor
  • Brandon, FL
  • NPI 1144855891
  Medicare reassignment Care Compare group NPD Authorized official
• Dalton James Becker, DC

  • Chiropractor
  • Tampa, FL
  • NPI 1275280430
  Medicare reassignment Care Compare group NPD
• Jennifer Schueler

  • Chiropractor
  • Valrico, FL
  • NPI 1144678616
  Medicare reassignment NPD
• Silver Faust, DC

  • Chiropractor
  • Sarasota, FL
  • NPI 1881474575
  Care Compare group
• Glen Scott Thornton, D.C.

  • Nutrition Chiropractor
  • Brandon, FL
  • NPI 1356416671
  NPD (past)

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1386207272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 LITHIA PINECREST RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116121",
            "telephone_number": "813-409-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 LITHIA PINECREST RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116121",
            "telephone_number": "813-409-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION WELLNESS CENTERS, FISHHAWK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "MULLAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "813-409-3304"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandon Spine and Injury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chambers Medical Group
• Donnella Chambers
• Siera Chambers
• Stephen F Chambers, M.D.,M.B.A.,M.P.H.
• Zayda Chamorro, M.D.
• Natasha Jeanette Champion, M.D.
• Rebecca Lee Fitzgerald Champion
• Melissa Chandler, M.A., C.C.C.
• Ethan Chang
• Michael Chanthalangsy, DDS

• Chiropractor in Brandon, FL
• Providers in Brandon, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.