Individual provider Active NPI

Brandon Willmonte Krainik, D.C.

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1427347657
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8273 Issued in AZ
Practice address
754 S Val Vista Dr Ste 105
Gilbert, AZ 85296-3139
Phone
(480) 497-2900
Fax
(480) 497-2906
NPI assigned
Mar 28, 2011
Last updated
Aug 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6608 CO
Chiropractor 111N00000X 8273 AZ Primary
Rehabilitation Practitioner 225400000X 6608 CO
Rehabilitation Chiropractor 111NR0400X 4921 AZ

Addresses

Primary practice location

754 S Val Vista Dr Ste 105
Gilbert, AZ 85296-3139

Mailing address

2132 S Martingale Rd
Gilbert, AZ 85295-3452
Phone (720) 878-3664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121015000728 AZ Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 8628240306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prasada Health Center LLCGroup PAC ID 8628460672, 7 clinicians
BFG Medical Group LLCGroup PAC ID 9638414568, 4 clinicians

Practice addresses (Care Compare)

13733 N Prasada Pkwy
Suite 100
Surprise, AZ 85388-8007
Phone 4809267800119

754 S Val Vista Dr
Suite 105
Gilbert, AZ 85296-3139
Phone (480) 497-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6608COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Prasada Health Center LLC Chiropractor CurrentSince Jan 25, 2022 Accepting new patients
BFG Medical Group LLC Chiropractor CurrentSince Jan 1, 2019 Accepting new patients
Spine Re-New P.C. Chiropractor Past Accepting new patients
South Val Vista Medical Group LLC Past Accepting new patients
West Valley Medical LLC Chiropractor Past Accepting new patients

Locations

754 S Val Vista Dr
Ste 105
Gilbert, AZ 85296
Phone (480) 497-2900

13733 N Prasada Pkwy
Ste 100
Surprise, AZ 85388
Phone (480) 497-4506

Organizations & group practices 6

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": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1427347657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 S MARTINGALE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953452",
            "telephone_number": "720-878-3664",
            "fax_number": "480-497-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S VAL VISTA DR STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963139",
            "telephone_number": "480-497-2900",
            "fax_number": "480-497-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAINIK",
        "first_name": "BRANDON",
        "middle_name": "WILLMONTE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6608",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8273",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CO",
            "license": "6608",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "4921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.